ANOREXIA, LACK OF APPETITE (POOR APPETITE)

Clinical Manifestations
  • Strictly speaking, anorexia means lack of appetite. Lack of appetite is an extension of a poor appetite or reduced food intake and is treated in the same way. Therefore anorexia, poor appetite and reduced food intake are included under this heading.
Treatment Principle
Herb Formulas
Points
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
  • Fever and chills
  • Aversion to Cold
  • Headache
  • Stuffy nose
  • Cough with profuse sputum
  • Chest fullness
  • Fatigue
  • Lethargy
  • Abdominal fullness
  • Loose Stools
  • Shortness of breath
  • Nasal obstruction
  • No desire to speak
  • Fullness and distention in the chest and diaphragm
  • Gastric distention
  • Nausea and vomiting
  • Anorexia
  • T: Pale and thick
  • C: White or White and greasy
  • P: Superficial or Weak
Treatment Principle
  • Tonify Qi
  • Release the Exterior
  • Harmonize the Stomach
  • Transform Phlegm
Herb Formulas
Points
Clinical Manifestations
  • History of Yang Ming Jing or Fu
  • No appetite
  • Perspiration on extremities (cold center)
  • Sluggish or difficult urination
  • Constipation moving to long stringy stools moving to diarrhea
  • T: Normal
  • C: Slightly yellow and moist
  • P: Deep and forceful
Treatment Principle
  • Restore Yang
  • Warm the center
Herb Formulas
Points
Clinical Manifestations
  • Alternating chills and fever
  • Restlessness
  • Irritability
  • Anorexia
  • Sometimes fatigue
  • Fullness in the chest
  • Dizziness
  • Irritability
  • Nausea
  • Occasional vomiting
  • Headaches (side of head)
  • Hypochondriac pain, distention or tenderness
  • A bitter taste in the mouth
  • Rib pain
  • Achiness
  • Ear infection
  • Hearing difficulty
  • Red eyes
  • Stiff shoulders
  • Throat pain
  • Hip pain
  • T: Normal with bumps or dots on side
  • C: Thin white
  • P: Wiry
Treatment Principle
  • Harmonize the Liver and Gall Bladder
Herb Formulas
Points
Clinical Manifestations
  • Alternating chills and fever
  • Thirst
  • A bitter taste in the mouth
  • Anorexia
  • Edema
  • Vomiting and diarrhea with water intake
  • Dysuria
  • Fullness and oppression in the chest and hypochondrium
  • Diarrhea
  • T: Pink
  • C: White
  • P: Superficial and wiry
Treatment Principle
  • Harmonize the Exterior and the Interior
  • Relieve the Shao Yang
  • Dispel Water Accumulation
  • Resolve Phlegm Accumulation
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
  • 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
  • Nausea
  • Clear, frequent urination
  • Lack of thirst
  • Anorexia
  • Vomiting of clear fluid
  • Abdominal distension and pain (sharp)
  • Diarrhea or loose stool
  • Prefers warmth
  • T: Pale or pink
  • C: White
  • P: Slow and tight or Soft
Treatment Principle
  • Regulate the middle
  • Warm the Middle Jiao
  • Disperse Cold
  • Relieve pain
Herb Formulas
Points
Clinical Manifestations
  • Clear, frequent urination
  • Abdominal distension
  • Anorexia
  • Nausea
  • Vomiting clear fluid
  • Dull abdominal pain
  • Diarrhea or loose stools
  • Prefers warmth and pressure
  • T: Pale
  • C: White
  • P: Slow and sinking or Soft and weak
Treatment Principle
  • Regulate the Middle
  • Warm the Middle Jiao
  • Disperse Cold
Herb Formulas
Points
Clinical Manifestations
  • Fatigue
  • Aversion to Cold
  • Diarrhea or loose stools
  • MJ distension and fullness
  • May be abdominal pain
  • No thirst
  • Jaundice
  • Grayish white stools
  • Anorexia
  • Cold extremities
  • Dull yellow skin
  • T:  Pale
  • C: Greasy white
  • P:  Deep weak and slow
Treatment Principle
  • Warm Yang
  • Disperse Cold
  • Dispel Damp accumulation
Herb Formulas
Points
Clinical Manifestations
  • Delirium
  • Heat in upper body
  • Cold in lower body
  • Sensation of Qi rushing to the chest
  • Vomits worms
  • Persistent thirst
  • Feverishness
  • Anorexia (hungry but can't eat)
  • Chronic diarrhea
  • Cold extremities
  • Maybe edema
  • Vertex headache
  • Vomits food
  • Cardiac Heat with pain
  • T: Red or pink or pale and flabby
  • C: Thick and greasy or thin
  • P: Deep, thready and weak or wiry
Treatment Principle
  • Clear worms
  • Clear Heat (Do not purge, create diaphoresis, or create emesis)
  • Revive Yang
Herb Formulas
Points
Clinical Manifestations
  • Headache (wrapping)
  • Fever and chills, fever more pronounced or
  • Chills with afternoon fever
  • Heavy extremities
  • Heavy sensations in the body
  • Stifling sensation in the chest
  • Nausea
  • Anorexia
  • Dizziness
  • Gastric and abdominal distension
  • Sticky mouth
  • No thirst
  • T: Normal
  • C: Greasy, white or Greasy, yellow
  • P: Soft and rapid or Soft and slow or Wiry thin and soft
Treatment Principle
  • Clear Damp-Heat
Herb Formulas
Points
Clinical Manifestations
  • Fever and chills, fever more pronounced or
  • Tidal fever
  • Abdominal distention
  • Thirst
  • Sweat
  • Stifling sensation in the chest
  • Restlessness
  • Gastric disturbances:
    Heaviness
    Nausea
    Severe diarrhea
  • Scanty urine
  • T: Red tip and edges
  • C: Greasy white or yellow
  • P: Rapid and soft
Treatment Principle
  • Disperse Wind
  • Clear Heat
  • Resolve Damp
Herb Formulas
Points
Clinical Manifestations
  • High fever or
  • Fever
  • Aversion to Heat
  • Irritability
  • Restlessness (neither activity nor resting brings relief)
  • Heat sensation in the chest
  • Thirst
  • Has urge to vomit but cannot
  • May have dark yellow urine
  • T: Red
  • C: Yellow
  • P: Rapid or Forceful and rapid
Treatment Principle
  • Clear Heat
  • Remove Obstructions
Herb Formulas
Points
Clinical Manifestations
  • Lingering fever from a febrile disease
  • Vomiting
  • Irritability
  • Thirst with a desire to drink
  • Parched mouth, lips and throat
  • Choking cough
  • Restlessness
  • Insomnia
  • Nausea
  • Anorexia
  • Profuse perspiration
  • A dry mouth
  • Indigestion
  • Listlessness
  • Chest oppression
  • Ulcerations of the mouth
  • Coarse skin
  • Cough
  • Night sweats
  • Stifling sensation in the chest or epigastrium
  • T: Red
  • C: Little or None
  • P: Rapid and Deficient or Thready and rapid
Treatment Principle
  • Clear Heat
  • Generate fluids
  • Tonify Qi
  • Harmonize the Stomach
Herb Formulas
Points
Clinical Manifestations
  • Loss of appetite
  • Fever
  • Pressure headache - like a bandage
  • Gastric distension
  • Chest distension
  • A sensation of heaviness in the body
  • Lethargy
  • Listlessness
  • Muscle aches
  • Foggy-headedness
  • Fullness and discomfort in the chest
  • Tendency toward loose stools or
  • Diarrhea
  • Dysentery
  • A sallow complexion
  • No thirst
  • Low-grade afternoon fever
  • All symptoms are worse around mid-afternoon
  • T: Red
  • C: Greasy and yellow
  • P: Soft and thready or Soft and wiry or Soft and rapid or Soft and slow or Wiry thin and soft
Treatment Principle
  • Clear Damp Heat in the Qi Stage
  • Descend Lung Qi
  • Promote urination
Herb Formulas
Points
Clinical Manifestations
  • Heavy, painful head
  • Generalized sensation of heaviness
  • Back pain
  • Generalized pain or muscle ache
  • Difficulty bending or rotating trunk
  • Mild fever
  • Slight aversion to Wind and Cold
  • Dizziness
  • Anorexia
  • Anhidrosis
  • Stiffness of the neck
  • Chest oppression
  • Chills
  • No perspiration
  • Aversion to Cold
  • Lassitude
  • Scanty urination
  • T: Pink
  • C:White or Greasy and white
  • P: Superficial or Superficial and slow or Superficial and soft or Superficial and tight
Treatment Principle
  • Dispel Wind
  • Eliminate Dampness
  • Relieve the exterior
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • Chills and fever
  • Aches in the limbs
  • Dysentery
  • Anorexia (inability to eat)
  • Itching
  • Headache
  • Vomiting upon eating or drinking
  • Cough
  • T: Normal
  • C: Whitish and slimy
  • P: Soft and floating
Treatment Principle
  • Release the Exterior
  • Tonify Qi
  • Eliminate toxins
  • Stop vomiting
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
  • Constipation
  • Difficulty in passing stools
  • Dull pains and cold sensations in abdomen
  • Preference for warmth; dislike of Cold
  • Cold hands and feet
  • Abundant clear urine
  • T: Pale
  • C: Thick, white and moist
  • P: Deep and slow
Treatment Principle
  • Warm the Cold
  • Relieve constipation
Herb Formulas
Points
Clinical Manifestations
  • Diarrhea with tenesmus which intensifies after defecation
  • Frequent stools which are small in quantity
  • Stools are yellow or brown, thin, watery, with foul smell or sticky and pasty like jam or sticky fluid or containing pus and Blood
  • Burning hot sensation in anus
  • Abdominal pain
  • Urine short and red
  • Sustained fever despite profuse perspiration or
  • Raging fever in the afternoon
  • Severe cases:
    High fever and coma
  • Mouth dry but no desire to drink
  • Body heavy
  • Limbs tired
  • Fullness in chest
  • Lump in epigastrium
  • Anorexia
  • Vomiting
  • T: Red
  • C: Yellow and greasy
  • P: Slippery and rapid
Treatment Principle
  • Clear Heat
  • Transform Dampness
  • Stop dysentery
Herb Formulas
Points
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
  • Activate Blood circulation
  • Conduct Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Chronic dysentery or
  • Chronic diarrhea or
  • Rectal prolapse
  • Dull abdominal pain with liking for warmth and pressure
  • Borborygmus
  • Cold limbs
  • Poor appetite
  • Mental fatigue
  • T: Pale
  • C: White
  • P: Minute, thready and forceless
Treatment Principle
  • Benefit the Intestines
  • Consolidate and astringe
Herb Formulas
Points
Clinical Manifestations
  • Distention and fullness of epigastrium and abdomen
  • Nausea
  • Vomiting
  • Anorexia
  • Loose stools
  • Diarrhea
  • Reduced sensation of taste
  • No thirst or preference for hot drinks
  • Sticky sensation in mouth
  • Borborygmus
  • Lassitude
  • Yin jaundice
  • Heavy head
  • Maybe edema
  • Maybe copious white vaginal discharge
  • Maybe cold limbs, fear of Cold or feeling chilled
  • T: Pink
  • C: Thick, white and greasy or sticky
  • P: Deep and slow
Treatment Principle
  • Warm Cold
  • Transform Dampness
  • Harmonize the Stomach
  • Strengthen the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Anorexia
  • Abdominal distention and discomfort
  • 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
Treatment Principle
  • Clear Heat
  • Benefit Dampness
Herb Formulas
Points
Clinical Manifestations
  • Vomiting
  • Abdominal distention and fullness
  • Fever and chills
  • Diarrhea with mucus
  • Headache
  • Melaena
  • T: Pink
  • C: Thick, white and greasy
  • P: Soft or Floating tight and soft or Weak
Treatment Principle
  • Regulate Qi
  • Dry Dampness
  • Transform turbidity
  • Descend Qi
  • Harmonize the Stomach
  • Stop vomiting
Herb Formulas
Points

Clinical Manifestations
  • Diminished appetite
  • Sallow complexion
  • Fatigue
  • Lethargy
  • Nausea/Vomiting, often in the morning
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools
  • Shortness of breath
  • A soft voice
  • 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
  • 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
  • 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
  • Benefit Qi
  • Reinforce the Center
  • Invigorate Yang
Herb Formulas
Points
  • DU-20, other points are selected according to the type of prolapse
Clinical Manifestations
  • Sallow or pale complexion
  • Anorexia
  • Four limbs feel tired and heavy
  • Physical and mental exhaustion
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose or unformed stools
  • Shortness of breath
  • Dizziness
  • Palpitations
  • Functional Uterine Bleeding
  • Purpura
  • Epistaxis
  • Hemafecia
  • Hematuria
  • Menorrhagia
  • Metrorrhagia
  • T: Pale and flabby - may have teethmarks
  • C: White
  • P: Thready and weak
Treatment Principle
  • Benefit Qi
  • Conserve Blood
Herb Formulas
Points
Clinical Manifestations
  • Sallow complexion
  • Anorexia (maybe with vomiting)
  • Four limbs feel tired and heavy
  • A waxy, pale or lusterless complexion
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools or watery stools containing undigested food
  • Shortness of breath
  • Reluctance to speak
  • Soft voice
  • Pain in the epigastrium with cold sensations (pain is relieved by warmth)
  • Cold limbs
  • Feeling chilled
  • Frequent, clear urination
  • Mental fatigue
  • Maybe scanty urine with edema
  • Maybe clear, watery vaginal discharge
  • Diarrhea
  • T: Pale
  • C: Thin and white
  • P: Deep and weak
Treatment Principle
  • Warm the Center
  • Dispel Cold
Herb Formulas
Points
Clinical Manifestations
  • Anorexia
  • Loss of the sense of taste
  • Inability to eat more than a little at a time
  • Bloating after eating
  • Focal distention
  • Diarrhea
  • Nausea/Vomiting
  • Indigestion
  • Epigastric discomfort
  • Generalized weakness
  • Maybe chest distention
  • T: Pale
  • C: White
  • P: Deep and soft
Treatment Principle
  • Strengthen and harmonize the Spleen and Stomach
  • Resolve Dampness
  • Improve the appetite
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
  • Intermittent abdominal and gastric fullness and distention after eating
  • Vomiting of partially undigested food about 12 hours after eating which relieves the discomfort
  • The vomitus is relatively inoffensivewith clearly identifiable food and possibly watery mucus-like material
  • Waxy, pale complexion
  • Anorexia
  • Weight loss
  • Emaciation
  • Loose stools or
  • Diarrhea
  • Fatigue
  • Weakness
  • Listlessness
  • Increased desire to sleep
  • Cold abdomen
  • Cold extremities
  • Intolerance of Cold
  • T: Pale and swollen
  • C: White
  • P: Thready, deep and weak
Treatment Principle
  • Warm and strengthen the Spleen and Stomach
  • Harmonize the Stomach
  • Descend Qi
Herb Formulas
  • Ding Kou Li Zhong Wan modified
  • With Qi Stagnation: Ding Xiang Tou Ge San
  • With Kidney Yang Deficiency: Fu Zi Li Zhong Wan  modified
  • For severe, resistant or unresponsive cases with Phlegm Accumulation: Xuan Fu Dai Zhe Tang
  • Chinese Patent Medicines:
    For Spleen Yang Deficiency with Cold: Fu Zi Li Zhong Wan
    For Spleen Yang Deficiency: Li Zhong Wan
    For Spleen Qi Deficiency: Xiang Sha Liu Jun Zi Wan
    For Kidney Yang Deficiency: Jin Gui Shen Qi Wan combined with one of the above formulas
Points
Clinical Manifestations
  • Head feels heavy as if wrapped up
  • Four limbs tired
  • Lethargic
  • Sensations of stuffiness and fullness in chest and epigastrium
  • Decreased food intake or vomits immediately after eating
  • Cough
  • Asthma
  • Abundant white watery phlegm, easily expectorated
  • Cannot lie flat (due to breathing difficulties)
  • T: Pink
  • C: Thick and slimy
  • P: Slippery and even
Treatment Principle
  • Warm and Reinforce the Spleen and Lungs
Herb Formulas
Points
Clinical Manifestations
  • Body cold
  • Limbs icy
  • Complexion white and shiny
  • Low back, knees and abdomen feel cold and painful
  • Lower abdomen feels cold and painful
  • Loose stools containing undigested food
  • “Cock-crow” diarrhea (occurs at about 5 am)
  • Edema of face and limbs
  • Dysuria
  • Severe:
    Abdominal ascites
  • T: Pale, moist and swollen
  • C: Thin and white or White and greasy
  • P: Deep, thready, weak and maybe slow
Treatment Principle
  • Warm and Reinforce the Spleen and Kidneys
Herb Formulas
Points
Clinical Manifestations
  • General signs and symptoms:
    Epigastrium Cold with pain
  • Mild cases:
    Constant pain
  • Severe cases:
    Sudden bouts of sharp pain
    Pain is aggravated by Cold and relieved by warmth and hot drinks
    Cold hands and feet
  • Cold Penetrates the Stomach and Intestines:
    Pain is sudden and sharp
    Pain is relieved by warmth
    Nausea
    Diarrhea
    Loose stools
    T: Pink
    C: White
    P: Deep and tight
  • Retention of Fluid in the Stomach due to Cold:
    Pain is dull
    Pain is relieved by warmth
    Succussion sound in the epigastrium on palpation
    Vomiting of clear, watery fluid
    T: Pink
    C: White and sticky
    P: Thready or Thready and slow
  • Stomach Deficiency with Stagnation of Cold:
    Pain is dull
    Pain is relieved by warmth and pressure
    Vomiting clear, watery fluid
    T: Pale
    C: Thin and white
    P: Deep and slow or Deep and thready
Treatment Principle
  • Warm the Stomach
  • Warm Cold
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
  • 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: Dark purple with purple spots or dots
  • P: Wiry and choppy
Treatment Principle
  • Activate the Blood
  • Adjust Qi
  • Transform Stagnation
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Anorexia or
  • Reduced appetite
  • Loss of the sense of taste
  • Epigastric and abdominal distention and fullness
  • Nausea/Vomiting often in the morning
  • Acid reflux
  • Belching
  • Loose stools or
  • Diarrhea
  • Fatigue
  • Lethargy
  • Sluggishness
  • A heavy body and limbs
  • A frequent desire to sleep, after which the patient feels worse or more sluggish
  • Poor concentration
  • Heavy or foggy-headedness
  • Stuffiness in the chest
  • Maybe chronic mucus production fro the sinuses and Lungs
  • Copious salivation
  • Greasy skin
  • A musky body odor
  • Tendency toward obesity
  • A pear shape
  • T: Swollen or flabby
  • C: Thick, greasy and white
  • Slippery, wiry and moderate
Treatment Principle
  • Dry and transform Phlegm-Damp
  • Stimulate digestion
  • Circulate Qi and Fluids
  • Harmonize the Stomach
Herb Formulas
  • Ping Wei San
  • With Qi Stagnation: Xiang Sha Yang Wei Tang
  • With obesity and Yang Deficiency: Shi Pi Yin
  • Chinese Patent Medicines:
    Ping Wei San
    With Spleen Deficiency: Xiang Sha Liu Jun Zi Wan
    With Qi Stagnation: Xiang Sha Yang Wei Wan
    With Spleen Yang Deficiency: Fu Zi Li Zhong Wan
    With Food Stagnation: Bao Yang Dan
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
  • Epigastric fullness and distention
  • No desire for food and drink
  • Frequent belching
  • 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
  • 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
  • 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
  • Treat Milky Lin
Herb Formulas
Points

Clinical Manifestations
  • Mental confusion
  • Clouding of consciousness
  • Talking to oneself
  • Acting as if no one else is present
  • Dull expression with blank stare
  • Odd behavior
  • Maybe loss of consciousness
  • Maybe falling to the ground
  • Sound of phlegm in throat with gurgling
  • T: Pink
  • C: White and greasy
  • P: Deep and slippery; maybe wiry
Treatment Principle
  • Clear Phlegm
  • Open the Orifices
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Insomnia
  • Much dreaming
  • Easily startled
  • Poor memory
  • Four limbs tired and lethargic
  • Loss of appetite
  • Distention and fullness of the epigastrium and abdomen
  • Loose stools
  • Sallow complexion
  • Copious, pale menses
  • Uterine bleeding or
  • Light menstrual flow or
  • Amenorrhea
  • T: Pale
  • P: Thready and weak
Treatment Principle
  • Reinforce and Benefit the Heart and Spleen
Herb Formulas
Points
Clinical Manifestations
  • Vague lower abdominal pain
  • Feelings of cold and heaviness
  • Fond of warmth and pressure
  • Abdominal fullness intermittently
  • Borborygmus
  • Unformed, loose stools or
  • Chronic, incessant diarrhea
  • Urinary frequency
  • T: Pale
  • C: Thin and white
  • P: Deep and even
Treatment Principle
  • Warm and Clear the Small Intestine
Herb Formulas
Points
Clinical Manifestations
  • Reduced appetite which is related to the person's emotional state
  • Epigastric and 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
  • With Phlegm: Plum pit Qi Stagnation
  • T: Pink
  • C: White and greasy
  • P: Slippery and wiry
Treatment Principle
  • Soothe the Liver
  • Invigorate the Spleen
Herb Formulas
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
  • Vexatious Heat
  • Rib-side pain
  • Distention and fullness
  • Stomach pain
  • Extreme Heat
  • Upper abdomen distension or tenderness
  • Stomach fullness after meals
  • Appetite decrease
  • Belching
  • Nausea
  • Vomiting
  • Heartburn
  • Chest pain
  • Likes cold drinks
  • Thirst
  • T:Red
  • C: Normal
  • P: Slippery and rapid
Treatment Principle
  • Resolve Liver Qi Stagnation
  • Descend Rebellious Qi
  • Scatter Depressive Fire
Herb Formulas
Points

Clinical Manifestations
  • Yang jaundice (sclera and skin bright yellow)
  • Pain and fullness in ribs on both sides
  • Maybe pain in the right hypochondrium
  • Bitter taste in mouth
  • Nausea
  • Vomiting sour and bitter fluids
  • Anorexia
  • Maybe alternating chills and fever
  • Concentrated, dark urine
  • Abdominal distention
  • Women:
    Yellow vaginal discharge with foul smell
    Pruritis vulvae
  • Men:
    Pain, swelling and burning sensations of testicles
  • T: Pink
  • C: Yellow and greasy or sticky
  • P: Wiry and rapid or Slippery and rapid
Treatment Principle
  • Clear Dampness
  • Purge Heat from Liver and Gall Bladder
Herb Formulas
Points
Clinical Manifestations
  • Swelling and pain in scrotum as if the testicles were being pulled downward or
  • Contractions and Cold sensations of scrotum which are alleviated by warmth
  • Pain, distention, fullness and Cold sensation in lower abdomen
  • Cold limbs
  • Dislike of Cold and a preference for warmth
  • T: Pale
  • C: White, greasy
  • P: Deep and wiry or Slow or Deep and Excess
Treatment Principle
  • Warm the Liver
  • Dispel Cold
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
  • Palpitations
  • Anxiety
  • Insomnia
  • Dream disturbed sleep
  • Nightmares
  • Hair loss
  • Spontaneous perspiration
  • Amnesia
  • Infantile night crying
  • Dreams of sexual intercourse in women
  • A cold sensation on the tip of the penis
  • Loss of appetite
  • Dizziness
  • Depression
  • Lack of motivation
  • Night sweats
  • Spermatorrhea
  • Nocturnal emissions
  • Lower abdominal contraction and pain
  • Occasional watery diarrhea
  • T: Slightly pale
  • P: Hollow and slow or Hollow and slightly tight
Treatment Principle
  • Tonify Yin and Yang
  • Harmonize the Ying and Wei
  • Astringe Jing
Herb Formulas
Points
Clinical Manifestations
  • Fatigue
  • Loose stools
  • Poor appetite
  • Dizziness
  • Pale face
  • Weak voice
  • Reluctance to speak
  • Sweating with little or no exertion
  • Palpitations
  • Insomnia
  • Dry skin
  • Dry hair
  • Poor memory
  • Paleness
  • Scanty periods
  • T: Pale or Pale, thin and dry
  • C: Thin and white
  • P: Weak or Thin and choppy
Treatment Principle
  • Tonify Qi
  • Nourish the Blood
Herb Formulas
Points
Clinical Manifestations
  • Fatigue
  • Anorexia
  • Dizziness
  • Pale face
  • Weak voice
  • Reluctance to speak
  • Sweating with little or no exertion
  • Dizziness
  • Palpitations
  • Insomnia
  • Dry skin
  • Dry hair
  • Poor memory
  • Paleness
  • Scanty periods
  • Chills
  • Cold limbs
  • Inability to get warm
  • Loose stools
  • Profuse clear urine
  • Spontaneous sweating
  • Lassitude
  • T: Pale
  • C: White or Thin, white and dry
  • P: Slow, deep and weak or Empty or Thready and rapid or Weak
Treatment Principle
  • Tonify Qi and Blood
  • Strengthen the Spleen
  • Tonify Yang
Herb Formulas
Points
Clinical Manifestations
  • 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
  • Immobile masses below the hypochondrium or in the abdomen
  • Abdominal pain
  • Emaciation
  • Poor appetite
  • Alternating chills and fever
  • Amenorrhea
  • Hard abdominal masses that produce pain
  • Aggravated by pressure
  • Hypochondriac distention
  • T: Purple with echymoses
  • P: Choppy
Treatment Principle
  • Activate the Blood
  • Remove Stasis
  • Circulate Qi
  • Resolve Phlegm
  • Eliminate accumulations
  • Soften and resolve hard masses
Herb Formulas
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
  • Reduced appetite
  • Postpartum emaciation and weakness
  • Persistent, tight abdominal pain
  • Abdominal pain with spasms or radiates to back and waist
  • Cannot eat
  • Shortness of breath
  • Dyspnea
  • Pale face
  • Intermittent spasmodic abdominal pain which is better with Heat and pressure
  • Epigastric pain
  • Lusterless complexion
  • Fidgeting
  • Maybe low-grade fever
  • Palpitations
  • Irritability
  • Cold and sore extremities
  • Nonspecific discomfort
  • Dry mouth and throat
  • Nocturnal emission
  • Five sole Heat
  • Debilitated constitution in children
  • Enuresis in children
  • Insomnia
  • Fatigue
  • Anemia
  • Bleeding
  • Abdominal weakness
  • Epistaxis
  • Habitual constipation
  • Maybe warm extremities
  • Night sweats
  • Tired limbs
  • Frequent urination
  • Night crying
  • Diarrhea in children
  • Habitual headache in children
  • Hernia pain in children
  • Chronic constipation
  • Purpura
  • Asthma
  • T: Pale
  • C: White
  • P: Weak and slow or Thready, wiry and even or Thready and weak
Treatment Principle
  • Warm and tonify the Spleen and Stomach
Herb Formulas
Points
Clinical Manifestations
  • Fatigue
  • Heavy and painful lower back
  • Dream-disturbed sleep
  • General weakness
  • Lack of interest in food or drink
  • Fever
  • Night sweats
  • Seminal emission
  • Forgetfulness
  • Toothache
  • Dizziness
  • Gum swelling
  • General pitted edema which is worse in the lower body
  • Vaginal discharge
  • Discharge of rice-water like urination without dysuria
  • Aversion to Cold
  • Impotence
  • Decreased libido
  • Emaciation
  • Loose teeth
  • Signs of premature aging
  • Abdominal Cold
  • Easily frightened
  • T: Pale or Pale and thick
  • C: Smooth and white
  • P: Moderate and weak or Deep and weak
Treatment Principle
  • Tonify the Spleen and Kidneys
  • Nourish the Heart
  • Enrich Yin
  • Nourish the Blood and Yang
  • Augment Qi
Herb Formulas
Points
Clinical Manifestations
  • Abdominal distension
  • Poor appetite
  • Edema
  • Chest and hypochondriac distension
  • Dizziness
  • Nausea and vomiting
  • Thirst but doesn't wish to drink
  • Maybe no thirst
  • Palpitations
  • Shortness of breath
  • T: Pink
  • C: Thick, slippery
  • P: Slippery and full and maybe wiry
Treatment Principle
  • Eliminate Dampness
  • Resolve Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Anorexia or
  • Appetite yet to return after a febrile disease
  • Nausea
  • Vomiting
  • Belching
  • Acid reflux
  • A bitter taste in the mouth
  • Insomnia or
  • Fitful sleep with much dreaming or
  • Waking in the early hours and unable to fall back to sleep
  • Cough with sticky, yellow, difficult to expectorate sputum
  • Palpitations with anxiety and nervousness
  • Irritability
  • Restlessness
  • Dizziness
  • Vertigo
  • Heavy or foggy-headedness
  • Cough with Phlegm
  • Chest and/or epigastric fullness
  • Pain in the ribs
  • T: Red
  • C: Yellow or Yellow and greasy or Yellow and smooth
  • P: Rapid and smooth or Slippery and rapid or Slippery, wiry and rapid
Treatment Principle
  • Clear Heat
  • Resolve Phlegm
  • Harmonize the Stomach
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Chills
  • Chest fullness
  • Aversion to Cold
  • Stabbing pain in the bones and joints
  • Cough with sputum
  • Cough
  • Wheezing
  • Copious sputum
  • Chest distention
  • Anorexia
  • Indigestion
  • Hiccup
  • Shortness of breath
  • T: Pale
  • C: Thick, white
  • P: Sinking and slow
Treatment Principle
  • Warm Cold
  • Disperse Phlegm
Herb Formulas
Points
Clinical Manifestations
  • A poor appetite
  • Fullness and distention in the abdomen
  • Loose stools or
  • Diarrhea or
  • Constipation
  • Nausea
  • Aching, heaviness and stiffness in the limbs and back
  • A weary feeling in the whole body
  • Scanty urine
  • Leukorrhea
  • A dull, blank complexion
  • Dull responses
  • T: Red
  • C: Yellow and greasy
  • P: Slippery
Treatment Principle
  • Expel Heat
  • Drain Dampness
  • Clear the water passages of the San Jiao
Herb Formulas
Points
Clinical Manifestations
  • General edema of the body and extremities
  • Dysuria
  • Oliguria
  • Orthopnea
  • Pitting edema
  • Dyspnea
  • Anorexia
  • Abdominal fullness and pain
  • T: Thick
  • C: White and thick
  • P: Slow or Wiry
Treatment Principle
  • Dispel Stagnant Water
  • Dry Dampness
  • Eliminate water from the Lungs
  • Harmonize the Spleen
  • Relieve edema
  • Move Qi
Herb Formulas
Points
Clinical Manifestations
  • Aversion to Cold
  • Heavy pressure headache
  • Anorexia
  • Mental dullness
  • Cough with white Phlegm
  • Severe chills
  • Slight fever
  • Maybe no fever or
  • Afternoon fever
  • Heavy head and extremities
  • Anhidrosis
  • Chest distention
  • A sluggish feeling
  • A sticky mouth
  • Diarrhea or
  • Loose stools
  • Borborygmus
  • Sticky saliva
  • No thirst
  • Epigastric distention
  • T: Pale
  • C: White or Greasy and white
  • P: Soft or Floating and slow
Treatment Principle
  • Dry Damp
  • Warm the body
Herb Formulas
Points
Clinical Manifestations
  • An irritable, stifling sensation in the chest and diaphragm
  • Labored breathing
  • Wheezing
  • Epigastric distention and fullness
  • Anorexia
  • Hurried breathing
  • T: Normal
  • C: White
  • P: Wiry
Treatment Principle
  • Promote the movement of Qi
  • Descend Rebellious Qi
  • Expand the chest
  • Disperse Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Emaciation
  • Abdominal fullness
  • Anorexia
  • Rough, dry and scaly skin
  • May be localized abdominal pain and tenderness
  • Amenorrhea
  • A dull, dark appearance of the eyes
  • Tidal fever
  • May be dry stools
  • T: Petechiae or Purplish or Reddish
  • P: Wiry and choppy or Wiry, small and smooth
Treatment Principle
  • Activate the Blood
  • Break up Blood Stasis
  • Nourish the Blood
Herb Formulas
Points
Clinical Manifestations
  • Lethargy
  • Anorexia
  • Maybe jaundice
  • No thirst or
  • Thirst with no desire to drink
  • Nausea
  • Vomiting
  • Afternoon fever
  • Body aches
  • A sallow complexion
  • Scanty urination
  • Diarrhea
  • Chest discomfort
  • Epigastric pain and distention
  • Dull appearance
  • Maybe disorientation
  • Loose stools
  • Maybe skin vesicles
  • Heavy extremities
  • T: Pink
  • C: Greasy and yellow
  • P: Soft and rapid
Treatment Principle
  • Clear Heat
  • Resolve Damp and turbidity
Herb Formulas
Points
Clinical Manifestations
  • Heaviness
  • Anorexia
  • Abdominal distention
  • Uncomfortable bowel movements
  • Nausea
  • Vomiting
Treatment Principle
  • Resolve Dampness
  • Disperse Stagnation
Herb Formulas
Points
Clinical Manifestations
  • No desire to eat or drink
  • Diarrhea
  • Abdominal pain
  • Nausea
  • Vomiting
  • Belching with a rotten or sour smell
  • T: Pale and thick
  • C: Greasy or Turbid
  • P: Weak and soggy
Treatment Principle
  • Augment the Spleen
  • Transform Dampness
  • Harmonize the Stomach
  • Dispel Food Stagnation
  • Relieve diarrhea and vomiting
Herb Formulas
Points
Clinical Manifestations
  • Intermittent abdominal pain
  • Indigestion
  • Emaciation
  • Loose stools
  • Feverishness
  • Foul breath
  • A sallow complexion
  • A large, distended abdomen
  • Anorexia
  • Decreased intake of food
  • Weak constitution
  • Constant fatigue
  • Maybe nausea and vomiting
  • Dry mouth
  • Thirst
Treatment Principle
  • Kill parasites
  • Reduce accumulations
  • Strengthen the Spleen
  • Clear Heat
Herb Formulas
Points