CHOLECYSTITIS

Clinical Manifestations
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Fever
  • Chills
  • Headache
  • Joint pains
  • Severe diarrhea
  • Epigastric distention
  • Perspiration
  • Cold body and extremities
  • Weakness of the extremities
  • Upper abdominal palpitations
  • Cold feet
  • Dysuria
  • Abdominal pain
  • Numb hands and feet
  • Generalized body aches
  • Paralysis of the extremities
  • Induration and swelling of the scrotum
  • Hypersalivation
  • Limited movement of the joints
  • Abdominal pain referring to the testis
  • Aversion to Cold
  • A preference for Warmth
  • Loose stools
  • Chills and fever
  • T: Normal
  • C: Thin and white
  • P: Tense and wiry
Treatment Principle
  • Release the Exterior
  • Warm the Interior
  • Tonify Qi
  • Relieve distention
Herb Formulas
Points
Clinical Manifestations
  • 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 Heat
  • Drain Stomach Fire
  • Generate Fluids
  • Alleviate thirst
  • Nourish Qi
Herb Formulas
Points
Clinical Manifestations
  • High fever (sometimes rises and falls)
  • Great thirst
  • Profuse perspiration
  • Aversion to Heat
  • Abdominal pain (worse with pressure)
  • Abdominal distension
  • Dryness
  • Constipation (hard dry knots)
  • Dislikes pressure
  • Restlessness
  • Irritability
  • Mental disturbances:
    Mentally unclear
    Delirious speech
  • T:  Red and dry, or black and moist
  • C:  Thick yellow or dry yellow
  • P:  Deep, strong and forceful
Treatment Principle
  • Purge the Intestines
Herb Formulas
Points
Clinical Manifestations
  • Alternating chills and fever
  • Restlessness
  • Irritability
  • Anorexia
  • Sometimes fatigue
  • Nausea
  • Occasional vomiting
  • Headaches (side of head)
  • Hypochondriac pain
  • 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
  • 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
  • Alternating chills and fever (chills predominate) or
  • Chills without fever
  • Sensation of irritability in the chest
  • Sweating from the head
  • Fatigue
  • Gastrointestinal weakness
  • Heavy head
  • Neuralgia
  • Epigastric distension
  • Lower abdominal pain
  • Tension around pubic bone
  • Periumbilical pain
  • Urinary difficulty
  • T: Moist
  • C: White and slippery
  • P: Superficial and wiry
Treatment Principle
  • Disperse Clumping
  • Harmonize the Shao Yang
  • Warm the Interior
  • Dispel Cold
Herb Formulas
Points
Clinical Manifestations
  • Alternating chills and fever
  • Fullness and focal distention in the chest and diaphragm
  • Pain in the chest and diaphragm with pressure
  • Thick, sticky, difficult-to-expectorate Phlegm
  • Panting
  • A bitter taste in the mouth
  • Chest pain with coughing or on deep inhalation
  • Anorexia
  • T: Normal
  • C: Yellow
  • P: Wiry and rapid
Treatment Principle
  • Clear Heat
  • Transform Phlegm
  • Expand the chest
  • Release the Shao Yang
Herb Formulas
Points

Clinical Manifestations
  • Acute epigastric pain
  • Alternating chills and fever
  • Abdominal pain
  • Constipation or
  • Burning diarrhea
  • Nausea
  • Vomiting
  • Hypochondriac pain
  • Pounding temporal headaches
  • Dizziness
  • 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 or Greasy and yellow
  • P: Deep, tight and wiry or Wiry and rapid
Treatment Principle
  • Harmonize and Disperse the Shao Yang
  • Drain Internal Heat Retention
Herb Formulas
Points
Clinical Manifestations
  • Abdominal distention and pain
  • Gas
  • Borborygmus
  • Diarrhea
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Women:
    Irregular menses
    Dysmenorrhea
    Breast distention and pain before and during menses
  • T: Pink
  • C: White and greasy
  • P: Slippery and wiry
Treatment Principle
  • Soothe the Liver
  • Invigorate the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Cold extremities.
  • Body hot and feverish due to lack of harmony of the Liver Qi
  • Thirst
  • Abdominal distention
  • Fever
  • Dark yellow urine
  • T:  Red
  • C: Yellow or white
  • P:  Rapid and slippery.
Treatment Principle
  • Clear Heat
  • Reverse reversals
Herb Formulas
Points
Clinical Manifestations
  • Intermittent attacks of abdominal pain
  • Stifling sensation in the chest and epigastrium
  • A sensation of warmth in the chest and epigastrium
  • Irritability in the chest and epigastrium
  • Vomiting after eating
  • Extremely Cold extremities
  • Vomiting of roundworms
  • Incessant diarrhea
  • Hunger with no desire to eat
  • Vomiting immediately after eating
  • Heat in the Stomach with Cold in the Intestines
  • Bitter taste in the mouth
  • Frequent urination
  • Anxiety
  • Abdominal pain (better with warmth and pressure)
  • Pain beneath the Heart
  • Borborygmus
  • Unquenchable thirst
  • Running piglet Qi
  • Pain and Heat in the Stomach
  • Discharge of small amounts of pus
  • Irritability
  • Recurrent nausea and vomiting
  • Diarrhea
  • Dry throat
  • Turbid urine
  • Polydipsia
  • T: Red or geographic or pale
  • C: White
  • P: Hidden or Wiry and tight
Treatment Principle
  • Warm the Internal organs
  • Warm the Middle Jiao
  • Warms the Intestines
  • Drains Heat
  • Replenishes Qi
  • Dispels parasites
  • Calms roundworms
  • Drains the Liver
  • Calms the Stomach
  • Promotes Blood circulation
  • Relieves pain
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
  • Dizziness
  • Gastric and abdominal distension
  • Sticky mouth
  • No thirst
  • T: Normal
  • C: Greasy white or yellow
  • P: Soft and rapid or soft and slow or wiry thin and soft
Treatment Principle
  • Clear Damp-Heat.
Herb Formulas
Points
Clinical Manifestations
  • Acute epigastric pain
  • Alternating chills and fever
  • Abdominal pain
  • Constipation or
  • Burning diarrhea
  • Nausea
  • Vomiting
  • Hypochondriac pain
  • Pounding temporal headaches
  • Dizziness
  • 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 or Greasy and yellow
  • P: Deep, tight and wiry or Wiry and rapid
Treatment Principle
  • Harmonize and Disperse the Shao Yang
  • Drain Internal Heat Retention
Herb Formulas
Points
Clinical Manifestations
  • Fever (may be unremitting)
  • Achy limbs
  • A stifling sensation in the chest
  • Abdominal distention
  • Nausea and vomiting
  • Dark, scanty, turbid or red urine
  • Diarrhea or constipation
  • Malaise
  • Sore throat
  • Jaundice
  • Thirst with no desire to drink
  • No perspiration
  • Chest discomfort
  • Swollen throat
  • Pressure headache
  • Anorexia
  • Vomiting and diarrhea
  • Unremitting fever
  • Swelling of the lower cheeks
  • Lumbago
  • Heaviness
  • Sweat
  • Orange-yellow body
  • Jaundice
  • Fatigue
  • Lethargy
  • Low back pain
  • Headache
  • Oliguria
  • Irritability
  • Persistent low grade fever
  • Dysentery
  • Simultaneous bitter and sweet tastes in mouth
  • Bowel dysfunction
  • T: Red or normal or Pale white
  • C: Thick greasy and white or Dry and yellow
  • P: Soft and rapid
Treatment Principle
  • Clear Damp-Heat and toxins
Herb Formulas
Points
Clinical Manifestations
  • Alternating chills and fever
  • Bitter taste in mouth
  • Thirst
  • Dry throat
  • Rib pain (doesn't like touch)
  • Hypochondriac pain
  • Nausea/vomiting
  • Hypogastric pain and distension
  • T:  Red
  • C:  Yellow
  • P:  Rapid and wiry
Treatment Principle
  • Relieve Gall Bladder Heat
  • Pacify The Liver and Gall Bladder
Herb Formulas
Points
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 Excess
Treatment Principle
  • Clear Excess Heat with bitter, cold, strong purgative herbs
Herb Formulas
Points
Clinical Manifestations
  • Abdominal distention and pain
  • Gas
  • Borborygmus
  • Diarrhea
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Women:
    Irregular menses
    Dysmenorrhea
    Breast distention and pain before and during menses
  • T: Pink
  • C: White and greasy
  • P: Slippery and wiry
Treatment Principle
  • Soothe the Liver
  • Invigorate the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Slight, lingering abdominal pain that begins or worsens after eating a heavy meal or unusual foods
  • Pain improves with rest and warm, light foods
  • Sallow complexion
  • Fatigue
  • Anorexia
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Belching
  • 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
  • Chronic cholecystitis
  • Late menstruation
  • Scanty, light red Blood or
  • Heavy non-stop bleeding
  • Dull pain in the lower abdomen
  • Pain alleviated by warmth
  • Lower back pain
  • Pale face
  • Cold limbs
  • Leg pain
  • T: Pale
  • C: Thin and white
  • P: Deep and thready or Deep and weak
Treatment Principle
  • Warm the channels
  • Disperse Cold
  • Regulate Qi
  • Pacify the Stomach
Herb Formulas
Points
Clinical Manifestations
  • Burning Heat and pain in the epigastrium
  • The pain is worse with pressure and or spicy hot foods
  • Irritating thirst: drinks copious fluids and prefers cold drinks
  • Epigastric distention
  • Excessive appetite: hungry again quickly after eating (as if food vanishes)
  • Thirst with a desire for cold drinks
  • Swelling, pain, ulceration and bleeding of gums
  • Foul breath
  • Toothache
  • Maybe vomiting right after eating
  • Vomiting acid or undigested food
  • Heartburn
  • Constipation or maybe diarrhea
  • Restlessness
  • Irritability
  • Maybe scanty, red urine
  • T: Red
  • C: Thick, yellow and dry or Peeled or A wide, shallow crack
  • P: Slippery, big, Excess and rapid
Treatment Principle
  • Clear and Purge Stomach Fire
Herb Formulas
Points
Clinical Manifestations
  • Abdominal distention and pain
  • Gas
  • Borborygmus
  • Diarrhea
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Women:
    Irregular menses
    Dysmenorrhea
    Breast distention and pain before and during menses
  • T: Pink
  • C: White and greasy
  • P: Slippery and wiry
Treatment Principle
  • Soothe the Liver
  • Invigorate the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Sudden epigastric and abdominal pain and distention
  • The pain is so intense that it feels like an awl is piercing the abdomen
  • Rough, uneven breathing
  • Stabbing pain in the chest
  • Lockjaw
  • A cyanotic complexion
  • Asthma
  • Dyspnea
  • Oliguria
  • A pale face
  • No bowel movements
  • Rapid breathing
  • Constipation
  • Cold limbs
  • Possible loss of consciousness (severe cases)
  • T: Bluish-purple
  • C: White or White and slippery
  • P: Deep and tight or Deep and slow
Treatment Principle
  • Purge Cold Accumulation
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • Intermittent attacks of abdominal pain
  • Stifling sensation in the chest and epigastrium
  • A sensation of warmth in the chest and epigastrium
  • Irritability in the chest and epigastrium
  • Vomiting after eating
  • Extremely Cold extremities
  • Vomiting of roundworms
  • Incessant diarrhea
  • Hunger with no desire to eat
  • Vomiting immediately after eating
  • Heat in the Stomach with Cold in the Intestines
  • Bitter taste in the mouth
  • Frequent urination
  • Anxiety
  • Abdominal pain (better with warmth and pressure)
  • Pain beneath the Heart
  • Borborygmus
  • Unquenchable thirst
  • Running piglet Qi
  • Pain and Heat in the Stomach
  • Discharge of small amounts of pus
  • Irritability
  • Recurrent nausea and vomiting
  • Diarrhea
  • Dry throat
  • Turbid urine
  • Polydipsia
  • T: Red or geographic or pale
  • C: White
  • P: Hidden or Wiry and tight
Treatment Principle
  • Warm the Internal organs
  • Warm the Middle Jiao
  • Warms the Intestines
  • Drains Heat
  • Replenishes Qi
  • Dispels parasites
  • Calms roundworms
  • Drains the Liver
  • Calms the Stomach
  • Promotes Blood circulation
  • Relieves pain
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
  • Genital warts
  • Anal warts
  • Epigastric focal distention
  • Fullness and tightness with very slight or no pain
  • Dry heaves
  • Vomiting
  • Borborygmus D
  • 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
  • Harmonizes the Stomach
  • Descends Rebellious Qi
  • Disperses clumping
  • Eliminates focal distention due to Cold and Heat factors
Herb Formulas
Points
Clinical Manifestations
  • Hypochondriac pain and distention
  • Dull pain in the right upper quadrant
  • Pain may radiate to the upper back and right shoulder
  • Chest oppression
  • Sometimes chills and fever or
  • Alternating fever and chills
  • Depression
  • Easily angered
  • Emotional tension
  • Nausea
  • Vomiting
  • Dry mouth
  • Irregular bowel movements or
  • Constipation
  • Anorexia
  • Aversion to oily, slimy foods
  • Belching
  • Slight abdominal tenderness
  • Murphy's sign positive
  • Bitter taste in mouth
  • Fidgeting
  • Maybe a slight fever
  • Abdominal pain and cramps
  • Breast distention and pain
  • Irritability
  • Dysmenorrhea
  • Irregular menstruation
  • Amenorrhea
  • T: Pink or maybe Red
  • C: Thin and white or yellow
  • P: Wiry or Tight or Wiry and rapid
Treatment Principle
  • Spread Liver Qi
  • Promote Qi circulation
  • Harmonize the Blood
  • Open the Gall Bladder
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • Abdominal distention and pain
  • Gas
  • Borborygmus
  • Diarrhea
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Women:
    Irregular menses
    Dysmenorrhea
    Breast distention and pain before and during menses
  • T: Pink
  • C: White and greasy
  • P: Slippery and wiry
Treatment Principle
  • Soothe the Liver
  • Invigorate the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Chest and abdominal distention
  • A stifling sensation in the chest and abdomen
  • Fixed pain in the hypochondria
  • Belching with a fetid odor
  • Nausea
  • Vomiting
  • Headache
  • 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
  • Regulate Qi
  • Release Stagnation
Herb Formulas
  • Yue Ju Wan
  • Chai Hu Shu Gan Tang
  • Yue Ju Wan
  • For chronic sluggish bowels or constipation: Liu Mo Tang
  • For Qi and Food Stagnation: Mu Xiang Shun Qi Wan
  • With Heat: Si Ni San modified
  • With Stomach Heat: Zuo Jin Wan
  • With persistent or severe vomiting: Xuan Fu Dai Zhe Tang
  • During remissions: Xiao Yao San modified
  • Chinese Patent medicines:
    Chai Hu Shu Gan Wan
    Xiao Yao Wan
    Xiang Xia Yang Wei Wan

    For chronic sluggish bowels or constipation: Mu Xiang Shun Qi Wan
    For constipation: Chen Xiang Hua Qi Wan
    For Spleen Deficiency and Dampness: Xiang Sha Yang Wei Wan
    With pain: Shu Gan Wan
    For robust patients: Chai Hu Shu Gan Wan
    With Stagnant Heat: Jia Wei Xiao Yao Wan
    With severe Damp-Heat in the Stomach
    : Huang Lian Jie Du Wan
Points
Clinical Manifestations
  • Intermittent chest, epigastric or hypogastric pain
  • Hernia pain
  • The pain is aggravated by ingestion of hot food or drink
  • Dysmenorrhea
  • Irritability
  • A bitter taste in the mouth
  • T: Red
  • C: Yellow
  • P: Wiry and rapid
Treatment Principle
  • Spread Liver Qi
  • Soothe the Liver
  • Drain Heat
  • Invigorate the Blood
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • Alternating fever and chills
  • Fullness in the chest and hypochondrium (with or without pain)
  • Bitter taste in mouth
  • Nausea
  • Continuous vomiting
  • Hard focal distension in the epigastrium
  • Fullness and pain in the epigastrium
  • Burning diarrhea or no bowel movement
  • Despondency
  • Slight fidgeting
  • Slight irritability
  • Headache
  • Constipation or discharge of fluids rectally
  • Tinnitus
  • Diminished hearing
  • Diminished vision
  • Red eyes
  • Manic behavior
  • Asthma
  • Mental instability
  • T: Normal or red
  • C: Yellow or Thick and yellow
  • P: Wiry and forceful or Wiry tight and forceful
Treatment Principle
  • Harmonizes and Disperses the Shao Yang
  • Drains Internal Heat Retention
Herb Formulas
Points
Clinical Manifestations
  • Vomits clear fluid
  • Body cold
  • Diarrhea
  • Complete exhaustion of Yang
  • Vomiting immediately after eating
  • Indeterminate gnawing hunger
  • Acid regurgitation
  • Belching
  • May be epigastric pain
  • Dry heaves or spitting of clear fluids with vertex headache
  • Vomiting and diarrhea with cold hands and feet
  • Restlessness
  • Severe fidgeting
  • Irritability
  • So agitated, the patient wants to die
  • Habitual headache
  • Subcardiac distention
  • A feeling of fullness and distention in the chest and diaphragm
  • T: Pale
  • C: White and slippery
  • P: Weak or Slow and weak or Sinking or slow and thin or Slow and wiry
Treatment Principle
  • Warm Yang especially in the Liver and Stomach
  • Descend turbidity
Herb Formulas
Points
Clinical Manifestations
  • Right-sided rib distention and pain
  • Abdominal distention and fullness
  • Palpable pain in the Gall Bladder region
  • Pain at SI-11 and Dannangxue
  • Nausea
  • Vomiting
  • Sluggish intake
  • Dry mouth with a bitter taste
  • Thirst with no desire to drink
  • Alternating chills and fever
  • Aversion to Cold
  • Emits Heat
  • Maybe jaundice
  • Dry stools
  • Yellow urine
  • T: Normal
  • C: Greasy and yellow
  • P: Wiry, slippery and rapid
  • Heat greater than Dampness:
    Maybe Yang jaundice (sclera, mucosal membranes and skin bright orange-yellow)
    Fever or
    Alternating fever and chills
    Thirst with a desire to drink cold fluids
    An uncomfortable, burning sensation in the chest and epigastrium
    Concentrated, scanty urination
    Constipation or
    Loose stools
    Nausea
    Vomiting
    Aversion to cigarette smoke
    T: Pink
    C: Greasy and yellow or Dry and yellow
    P: Wiry and rapid or Wiry, slippery and rapid
Treatment Principle
  • Clear Heat
  • Drain Dampness
  • Clear the Gall Bladder
  • Expel stones
Herb Formulas
Points
Clinical Manifestations
  • Quickly developing jaundice
  • Severe, colicky, recurrent right-sided hypochondriac pain
  • Pain may radiate to the shoulder and upper back
  • Fever and chills or
  • Alternating fever and chills
  • Bitter taste in the mouth
  • Dry throat and mouth
  • Nausea
  • Anorexia
  • Aversion to fats and oils
  • Abdominal distention
  • Pale, sticky stools
  • Scanty, concentrated urine
  • Dysuria
  • T: Red
  • C: Yellow
  • P: Wiry and rapid
Treatment Principle
  • Soothe the Liver
  • Drain the Gall Bladder
  • Clear Heat
  • Relieve fullness
Herb Formulas
Points
Clinical Manifestations
  • 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
  • Nourish Liver Blood
  • Soften the Liver
  • Spread Liver Qi
  • Strengthen the Spleen
  • Resolve Dampness
Herb Formulas
Points
Clinical Manifestations
  • Morning sickness or
  • Vomiting during pregnancy
  • Nausea with sour regurgitation or
  • Vomiting of sour material
  • Hypochondriac discomfort
  • Belching
  • Sighing
  • Moodiness
  • Dizziness
  • Depression
  • Concentrated urine
  • A tendency toward constipation
  • T: Red edges
  • C: Yellow
  • P: Wiry and rapid
Treatment Principle
  • Clear Liver and Stomach Heat
    Descend Qi
Herb Formulas
Points
  • General 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
  • 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
  • Fever
  • Night sweats
  • Red face
  • Dry mouth
  • Leukorrhagia with yellow, thick, foul discharge
  • Constipation
  • Dark, scanty urine
  • Irritation
  • Fidgeting
  • Insomnia
  • Five sole Heat
  • Irregular menstruation
  • A thin physique
  • Nocturnal emissions
  • Parched lips
  • Irritability
  • Dry stools
  • T: Dark red and dry
  • C: Dry and yellow or None
  • P: Flooding and rapid or Thin and rapid
Treatment Principle
  • Nourish Yin
  • Clear Heat
  • Nourish the Blood
Herb Formulas
Points
Clinical Manifestations
  • Lower abdominal pain and distention
  • Distention is more pronounced than pain
  • Lower back pain
  • Cold feet
  • Swollen, painful breasts
  • Depression
  • Swelling and pain of the scrotum
  • T: Normal or Pale
  • C: White
  • P: Wiry and tight or Wiry and choppy or Deep and slow
Treatment Principle
  • Promote the movement of Qi
  • Invigorate the The Blood
  • Regulate menstruation
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • Insidious flank pain
  • Fatigue
  • Weakness
  • Anorexia
  • Abdominal distention after meals
  • Patients usually over forty years of age
  • Dry mouth
  • Bitter taste in the mouth
  • Constipation
  • T: Fat or Swollen with teethmarks and a red tip with cracks in the center
  • C: Scanty or Peeled
  • P: Thready, wiry and rapid
Treatment Principle
  • Nourish Yin
  • Tonify Qi
  • Clear Heat
  • Eliminate Dampness
  • Move the Qi
Herb Formulas
Points
  • GB-24, GB-34, UB-17, UB-18, UB-20
    For severe Yin Deficiency
    : + KI-7
    For severe Qi Deficiency: + ST-36
    For suspected stones in the bile duct: + Dannangxue
    For yellow eyes or skin: + DU-9, ST-36
    For abdominal distention and pain: + REN-12
    For nausea and vomiting: + PC-6
Clinical Manifestations
  • Yellowing of the eyes and body which is sometimes worse and sometimes better
  • Dizziness
  • Vertigo
  • A shiny greenish blue facial complexion
  • Fatigue
  • Lassitude
  • Weakness
  • Disinclination to speak
  • Flank fullness, oppression, distention and discomfort or
  • Insidious pain which comes and goes
  • Anorexia
  • Severe: Phlegm lumps below the flanks
  • T: Pale and dark with possible Maculae or spots
        Engorged, distended, tortuous sublingual veins
  • C: White
  • P: Thready and wiry or Wiry and choppy
Treatment Principle
  • Tonify the Spleen
  • Dispel Dampness
  • Tonify Qi
  • Harmonize the Blood
Herb Formulas
Points
Clinical Manifestations
  • Lower abdominal distention and pain (usually on right)
  • Pain increases on pressure with rebound tenderness
  • Guarding of the abdominal musculature
  • Groin pain resembling urinary dysfunction without urinary difficulty
  • Groin pain relieved by flexing hip and knee
  • Groin pain intensified by extending hip
  • Perspiration
  • Irregular or intermittent fever followed by chills and perspiration
  • May be mass in lower right quadrant of abdomen
  • Aversion to Cold
  • Hard lumps
  • T: Pink
  • C: Thin, white or yellow and greasy
  • P: Slippery and rapid or Tight or Wiry and tight or Tight and rapid
Treatment Principle
  • Drain Heat
  • Break up Blood Stasis
  • Invigorate the Blood
  • Disperse nodules
  • Reduce swelling
Herb Formulas
Points
Clinical Manifestations
  • Fullness and hardness of the epigastrium and/or abdomen
  • Lower abdominal pain
  • Severe pain that becomes unbearable with the slightest pressure
  • Tidal fever at dusk
  • Shortness of breath
  • Severe constipation
  • Thirst
  • Irritability
  • Restlessness
  • T: Normal
  • C: Very dry
  • P: Deep, tight and forceful
Treatment Principle
  • Drains Heat
  • Purge Water Accumulation
Herb Formulas
Points
Clinical Manifestations
  • Severe, right-sided upper abdominal pain
  • Glomus lumps below the flanks
  • Hardness and fullness in the abdominal area which is worse with pressure
  • Alternating chills and fever
  • Colic
  • Abdominal pain
  • Severe jaundice
  • Nausea
  • Vomiting
  • Reddish urine
  • Constipation
  • Clouded Spirit
  • Deranged speech
  • Toxic shock (acute obstructive suppurative cholecystitis)
    Exhausted Yang:
    Shortness of breath
    Profuse perspiration
    Cold skin
  • Peritonitis:
    Tenderness
    Guarding
    Blumberg's sign
  • Extremely severe:
    Reversal Cold of the four extremities
    Great sweating with dribbling and dripping
    Listless Spirit
  • T: Deep red (Crimson)
  • C: Dry and yellow or Yellowish black
  • P: Thready and rapid or Wiry and rapid or Disappearing (low Blood pressure)
    Extremely severe: Faint, on the verge of expiring or Deep, thready and forceless
Treatment Principle
  • Clear Heat
  • Purge Fire
  • Relieve toxicity
  • Cool the Blood
  • Clear the Ying
  • Secure Yang
  • Stem desertion
Herb Formulas
Points
Clinical Manifestations
  • Anorexia
  • Edema
  • Abdominal distention
  • Chest and hypochondriac distention
  • Dizziness
  • Nausea
  • Vomiting
  • Vertigo
  • Thirst with no desire to drink
  • Maybe no thirst
  • Palpitations
  • Shortness of Breath
  • T: Normal
  • C: Thick and slippery
  • P: Slippery, full and maybe wiry
Treatment Principle
  • Warm and Dissolve Tan Yin
Herb Formulas
Points
Clinical Manifestations
  • Prolonged, nagging epigastric pain and distention
  • Patient tends to be overweight
  • Cough with sticky, yellow, difficult to expectorate sputum
  • Rapid breathing with a harsh voice
  • Restless fever
  • Sore throat
  • Constipation
  • Thirst with no desire to drink
  • Dry stools
  • Alternating constipation and diarrhea
  • Variable appetite
  • Mania
  • Shortness of breath
  • Dyspnea
  • Nausea
  • Vomiting
  • Chest and/or epigastric fullness
  • A heavy sensation in the body
  • Lethargy
  • Pain in the ribs
  • T: Scarlet
  • C: Yellow or Yellow and greasy or Yellow and smooth
  • P: Rapid and smooth or Slippery and rapid
Treatment Principle
  • Clear Heat
  • Resolve Phlegm
  • Soothe the Liver
  • Harmonize the Stomach
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
  • Fixed pain
  • Swelling
  • Pain worse with pressure
  • Acrid belching
  • Chest discomfort
  • Scanty urine
  • Dry heaves (serious)
  • 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
  • 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
  • Excruciating epigastric and abdominal pain to the point of not being able to to be touched
  • Gastric and Intestinal spasms
  • May be borborygmus.
  • Vomiting to the point of not being able to eat
  • Superficial skin pulsations throughout the abdomen
  • May be cold limbs
  • Strong sensation of Cold in the chest and epigastrium.
  • Severe pain in the head and feet
  • T: Pale or Dark purple
  • C: White and greasy or Slippery
  • P: Thin and tight or slow and wiry or Deep and thready or Hidden
Treatment Principle
  • Warm and tonify Middle Jiao Yang
  • Descend rebellious Qi
  • Relieve pain
Herb Formulas
Points
Clinical Manifestations
  • Acute lower abdominal pain
  • Incontinence of urine
  • Night fevers
  • Delirious speech
  • Irritability
  • Restlessness
  • Thirst
  • May be mania (severe)
  • Dysmenorrhea
  • Amenorrhea
  • Hard stool
  • Dark red complexion
  • Headache
  • Vertigo
  • Tinnitus
  • Insomnia
  • Palpitations
  • Constipation
  • Frequent urination
  • Emotional instability
  • Chills in the waist and feet
  • 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
  • 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
Clinical Manifestations
  • Intermittent attacks of Stomach, ductal and flank pain
  • Chest oppression
  • Irritability
  • Vexatious Heat
  • Vomiting after eating and/or
  • Vomiting of roundworms
  • Cold hands and feet
  • T: Red
  • C: Slimy and white
  • P: Slippery and wiry or Deep, thready and wiry
Treatment Principle
  • Warm the viscera
  • Clear Heat
  • Drain pathogens
  • Quiet roundworms
Herb Formulas
Points
Clinical Manifestations
  • Fullness and pain in the chest or
  • Stabbing pain that radiates from the chest to the back
  • Wheezing
  • Coughing with sputum
  • Drooling
  • Shortness of breath
  • Focal distention in the chest that feels like a flow of Qi proceeding from the flanks to the area around the Heart
  • T: Normal
  • C: White and greasy
  • P: Deep and wiry or Deep and tight
Treatment Principle
  • Unblock Yang
  • Dissipate clumps
  • Expel Phlegm
  • Descend Qi
Herb Formulas
Points