CIRRHOSIS OF THE LIVER

Clinical Manifestations
  • Cirrhosis is a late stage of scarring (fibrosis) of the Liver caused by many forms of Liver diseases and conditions, such as hepatitis and chronic alcoholism. Each time the Liver is injured — whether by disease, excessive alcohol consumption or another cause — it tries to repair itself. In the process, scar tissue forms. As cirrhosis progresses, more and more scar tissue forms, making it difficult for the Liver to function (decompensated cirrhosis). Advanced cirrhosis is life-threatening.
  • Symptoms:
    Cirrhosis often has no signs or symptoms until liver damage is extensive. When signs and symptoms do occur, they may include:
    • Fatigue
    • Easily bleeding or bruising
    • Loss of appetite
    • Nausea
    • Swelling in the legs, feet or ankles (edema)
    • Weight loss
    • Itchy skin
    • Yellow discoloration in the skin and eyes (jaundice)
    • Fluid accumulation in the abdomen (ascites)
    • Spiderlike blood vessels on the skin
    • Redness in the palms of the hands
    • For women, absent or loss of periods not related to menopause
    • For men, loss of sex drive, breast enlargement (gynecomastia) or testicular atrophy
    • Confusion, drowsiness and slurred speech (hepatic encephalopathy
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 release the Shao Yang
  • Harmonize the Liver, Spleen and Intestines
  • Dispel Water Accumulation
Herb Formulas
Points
Clinical Manifestations
  • High fever
  • Profuse perspiration
  • Great thirst with a desire to drink
  • Abdominal pain
  • Dryness
  • Irritability
  • Restlessness
  • Feverish body parts
  • Red face
  • Dry stools
  • No constipation
  • No aversion to Cold
  • T: Red, dry
  • C: Dry yellow
  • P: Rolling and rapid (gigantic)
Treatment Principle
  • Clear Heat
  • Reduce fever
  • Moisten and replenish fluids
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
  • Fullness and distention in the chest
  • Irritability
  • Occasional fright palpitations
  • Urinary difficulty
  • Constipation
  • Delirious speech
  • Insomnia
  • Subcardiac distention
  • Palpitations at the abdomen
  • Melancholia
  • Fear
  • Agitation
  • Unsteadiness
  • Tends toward mania and convulsions
  • Tends toward fatigue and clumsiness of limbs
  • Dysuria
  • Excitability
  • Dizziness
  • Anxiety
  • Depression
  • Tinnitus
  • Deafness
  • Profuse expectoration of Phlegm
  • Bitter taste in the mouth
  • Palpitations
  • Pale face
  • Oliguria
  • A sensation of extreme heaviness of the body
  • Fatigue
  • Inability to rotate the trunk
  • Difficulty moving the body
  • T: Red
  • C: Slippery
  • P: Wiry and rapid
Treatment Principle
  • Harmonize the Shao Yang
  • Unblock the three Yang Stages
  • Sedate and calms the Spirit
  • Relieve the chest and subcardiac regions
  • Alleviate spasms
Herb Formulas
Points
Clinical Manifestations
  • Dry throat and/or mouth
  • Chronic sore throat (not acute)
  • Restlessness
  • Malar flush
  • Insomnia
  • Disturbed speech
  • Low grade fever, worse in afternoon
  • Yellow urine
  • Irritability with a sensation of Heat in the chest
  • Palpitations with anxiety
  • Sores in the mouth or on the tongue
  • More Heat than in Yin Deficiency (chronic low grade fever)
  • T: Red, deep red
  • C: None
  • P: Deep, thready and rapid
Treatment Principle
  • Nourish Yin
  • Reduce Heat
Herb Formulas
Points
Clinical Manifestations
  • Cold extremities
  • Body hot and feverish due to lack of harmony of Liver Qi
  • Thirst
  • Abdominal distention
  • Fever
  • Dark yellow urine
  • T: Red
  • C: Yellow
  • P: Rapid and slippery
Treatment Principle
  • Clear Heat
  • Reverse reversals
Herb Formulas
Points
Clinical Manifestations
  • Clear, watery, frothy diarrhea
  • More water than diarrhea
  • Borborygmus with the sound of water sloshing in the abdomen on palpation
  • Emaciation
  • Nausea and/or
  • Vomiting of clear fluids
  • Abdominal distention
  • Scanty urination
  • A dry mouth
  • Dizziness
  • T: Pale
  • C: Greasy and white
  • P: Slippery or Soggy
Treatment Principle
  • Warm and strengthen the Spleen
  • Warm and strengthen Fluid metabolism
  • Drain Dampness through the urine or bowel
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
  • Emaciated Limbs
  • 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
  • Hematemesis
  • Nausea
  • Vomiting
  • Lassitude
  • Insomnia
  • Eyes sunken and moist with tears
  • Scanty, dark urine
  • Maybe thirst or thirst with no desire to drink
  • Diarrhea with foul smell or
  • Constipation
  • Hemafecia
  • 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
  • Yin jaundice
  • The face, eye and skin are a dull, lusterless yellow or very pale or sallow
  • Fatigue
  • Lethargy
  • Weakness in the extremities
  • Poor muscle tone
  • Loose stools or
  • Diarrhea
  • Poor appetite
  • Dizziness
  • Pale face
  • Weak voice
  • Reluctance to speak
  • Sweating with little or no exertion
  • Palpitations
  • Insomnia
  • Shortness of breath
  • Dry skin
  • Dry hair
  • Poor memory
  • Paleness
  • Scanty periods
  • T: Pale and swollen or Pale, thin and dry
  • C: Thin and white
  • P: Weak or Thin and choppy or Soft and thin
Treatment Principle
  • Strengthen the Spleen
  • Warm the Middle Jiao
  • Tonify Qi
  • Nourish the Blood
Herb Formulas
Points
Clinical Manifestations
  • Edema
  • Tympanitis which is firm and full when pressed
  • Loose stools or watery diarrhea
  • Epigastric distress
  • Hepatosplenomegaly
  • Weak extremities
  • Weight loss
  • Distention and a stifling sensation in chest and epigastrium
  • Pale, wan complexion
  • Abdominal distention
  • Indigestion
  • Vomiting
  • Fatigue
  • Chills
  • Maybe vomiting
  • Leukorrhea
  • Reduced appetite
  • Borborygmus
  • Diarrhea with onset of menstrual flow
  • Cough with copious sputum
  • Leukorrhea in obese women
  • Scanty urine
  • T: Pale or Pale red
  • C: White - maybe greasy
  • P: Thready and even or Even and Deficient or Thready and tight
Treatment Principle
  • Augment Qi
  • Strengthen the Spleen
  • Resolve Dampness
  • Stop diarrhea
Herb Formulas
Points
Clinical Manifestations
  • Reduced appetite
  • Difficulty digesting
  • Abdominal and epigastric bloating
  • Watery diarrhea
  • Loose stools
  • T: Normal
  • C: Slightly yellow, greasy
  • P: Deficient and frail
Treatment Principle
  • Strengthen the Spleen
  • Harmonize the Stomach
  • Reduce Food Stagnation
  • Stop diarrhea
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
  • Frequent, clear urination
  • 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
  • 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
  • Abdominal distention
  • Ductal glomus
  • Fatigue
  • Anorexia
  • Body cold
  • Weakness of the limbs
  • 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 with teethmarks
  • 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
  • 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
  • Abdominal pain (worse with pressure)
  • Abdominal and epigastric distention
  • Dysentery
  • Scanty dark urine
  • Constipation
  • T: Red
  • C: Yellow and greasy or slippery
  • P: Deep and forceful
Treatment Principle
  • Reduce and guide out Stagnation and Accumulation
  • Clear Heat
  • Dispel Dampness
Herb Formulas
Points
Clinical Manifestations
  • Epigastric distention, fullness and hardness
  • Dry heaves
  • Nausea/Vomiting
  • Irritability
  • Borborygmus
  • Diarrhea with undigested food
  • Hysteria
  • Fatigue
  • Erosions of the throat
  • Insomnia with difficulty falling asleep
  • Frequent waking
  • Talking in one's sleep
  • Sleepwalking
  • Dream disturbed sleep
  • T: Pink
  • C: Yellowish
  • P: Wiry and rapid
Treatment Principle
  • Benefit Qi
  • Harmonize the Stomach
  • Relieve epigastric distention
  • Disperse lumps and hardness
  • Stop diarrhea
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
  • Abdominal distention and pain
  • Vague hypochondriac pain
  • Anorexia
  • Gas
  • Borborygmus
  • Diarrhea
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Lassitude
  • Women:
    Irregular menses
    Dysmenorrhea
    Breast distention and pain before and during menses
  • T: Pink
  • C: White and greasy
  • P: Slippery and wiry
Treatment Principle
  • Nourish Liver Blood
  • Soften the Liver
  • Spread Liver Qi
  • Strengthen the Spleen
  • Resolve Dampness
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
  • Facial color dark and dull
  • Emaciation
  • Sides and ribs distended on both sides (maybe with sharp pain)
  • Enlargement of the Liver and Spleen
  • Suffocating sensation in chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • T: Dark purple (maybe purple spots on edge of tongue)
  • P: Wiry, choppy and slow
Treatment Principle
  • Activate Blood circulation
  • Soften hardness
Herb Formulas
Points
Clinical Manifestations
  • A sensation of fullness, distention and pain in the chest which is improved with massage
  • Cough
  • Prefers warm drinks
  • P: Wiry and large
Treatment Principle
  • Unblock Yang
  • Expand the chest
  • Dredge Stasis
  • Transform clumps
Herb Formulas
Points
Clinical Manifestations
  • Hepatosplenomegaly
  • A dark complexion
  • Piercing pain, oppression and distention in the lateral costal area
  • A feeling of hardness, conglomeration, accumulation or a lump on palpation of the abdomen
  • Twinges or distress in the hypochondrium
  • Abdominal distention
  • Anorexia
  • Distended and engorged vessels on the abdominal wall
  • Scaly skin
  • Spider naevi
  • T: Static purple
  • C: Thin and white
  • P: Deep and wiry or Wiry and choppy
Treatment Principle
  • Invigorate the Blood
  • Transform Stasis
  • Soften hardness
  • Unblock the channels
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
  • Dizziness
  • Blurred vision
  • Impaired vision
  • Dry eyes
  • Night blindness
  • Tinnitus
  • Headache
  • Nervousness
  • Insomnia with much dreaming
  • Dry throat
  • Thirst
  • Five sole Heat
  • Night sweats
  • Light menses or
  • Late menses or
  • Amenorrhea
  • T: Red
  • C: Little
  • P: Thready, wiry and rapid
Treatment Principle
  • Nourish Yin
  • Nourish the Liver
Herb Formulas
Points
Clinical Manifestations
  • Facial complexion pale and sallow
  • Both cheeks slightly red
  • Dizziness
  • Dry eyes
  • Blurred vision
  • Spots before the eyes
  • Numbness of limbs
  • Flaccid paralysis (Wei syndrome), weakness
  • Tinnitus
  • Deafness
  • Forgetfulness
  • Low back and knees sore and painful
  • Throat dry and painful
  • Five Sole Heat
  • Low-grade fever
  • Night sweats
  • Irritability
  • Insomnia
  • Stools difficult to pass
  • Constipation
  • Men:
    Spermatorrhea
  • Women:
    Irregular menses or
    Scanty menses or
    Amenorrhea
    Vaginal discharge
  • T: Red
  • C: None
  • P: Thready and rapid
Treatment Principle
  • Nourish and Reinforce the Liver and Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Severe breathlessness
  • Rapid breathing
  • Extremely cold extremities
  • Aversion to Cold
  • Sleeping with knees drawn up
  • Lethargy with a constant desire to sleep
  • Vomiting
  • Abdominal pain and Cold
  • Lack of thirst
  • Coma
  • Diarrhea
  • Indigestion
  • Edema
  • Pale face
  • Superficial fever
  • Red face
  • Cyanosis of the lips and nails
  • T: Pale or Dark purple
  • C: White and slippery
  • P: Deep and thready or Deep and slow or Deep and faint
Treatment Principle
  • Rescue Yang
  • Warm the Middle Jiao
  • Disperse Internal Cold
  • Stop diarrhea
Herb Formulas
Points
Clinical Manifestations
  • Aching bones and joints
  • Muscle ache
  • Whole body pain
  • Aversion to Cold, especially at the back
  • Cold limbs
  • Lower abdominal pain and Cold
  • Abdomen feels chilled
  • Maybe fever
  • No thirst
  • T: Normal
  • C: White and slippery
  • P: Deep and faint or Forceless or Choppy and slow or Wiry
Treatment Principle
  • Dispel Cold
  • Warm the channels
  • Assist Yang
  • Dispel Dampness
  • Relieve pain
Herb Formulas
Points
Clinical Manifestations
  • A dark, blackish, lusterless facial complexion
  • Scaly, dry skin
  • Five-Sole-Heat
  • Tachycardia
  • Very little sleep
  • Insidious burning pain in the chest, flanks, epigastrium and abdomen
  • T: Purplish red
  • C: Peeled
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Invigorate the Blood
  • Soften hardness
  • Dispel Stasis
  • Unblock the channels
Herb Formulas
Points
Clinical Manifestations
  • Insidious, lingering pain in the chest, flank, epigastric and abdominal areas
  • Pain worse with exertion
  • Shortness of breath
  • Weakness
  • Possible hemiplegia
  • T: Purplish pale
  • C:Thin and white
  • P: Forceless and choppy
Treatment Principle
  • Tonify Qi
  • Transform Stasis
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
  • Invigorate the Blood
  • Remove Stasis
  • Circulate Qi
  • Resolve Phlegm
  • Eliminate accumulations
  • Soften and resolve hard masses
Herb Formulas
Points
Clinical Manifestations
  • Ascites
  • Anorexia
  • Fullness, distention and pain in the hypochondrium
  • Epigastric and abdominal distention which is worse after eating
  • Belching
  • Flatulence
  • Irritability
  • Scanty urine
  • Sluggish stools
  • T: Pink
  • C: Greasy and white
  • P: Wiry
Treatment Principle
  • Soothe the Liver
  • Regulate Qi
  • Drain Dampness
  • Reduce Fluid Accumulation
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Fatigue
  • Anxiety
  • Irritability
  • Insomnia
  • Emaciation
  • Shortness of breath
  • Constipation
  • Dry mouth and throat
  • Numbness
  • Dry cough
  • Cough with little or no sputum
  • Cough with blood streaked sputum
  • Spontaneous perspiration
  • Night sweats
  • Five sole Heat due to stress
  • Early menses
  • Restlessness
  • Dry tongue
  • Pale copious menstrual flow
  • Weakness
  • Memory loss
  • Excess dreams
  • Fright
  • Tired body
  • Dry, hard stool
  • Coarse skin
  • Dry throat
  • A skinny appearance
  • T: Pale and shiny or Red
  • C: Thin and white or None
  • P: Knotted or Intermittent or Minute, forceless and Deficient or Thready and rapid
Treatment Principle
  • Augment Qi
  • Nourish Blood
  • Enrich Yin
  • Restore the Pulse
Herb Formulas
Points
Clinical Manifestations
  • Sharp, stabbing costal and hypochondria pain which is worse at night
  • Abdomen hurts with movement
  • Hypochondriac lumps
  • A dark, stagnant facial complexion
  • Dark, purplish lips, head chest and neck region with spots and red threads
  • Maybe spider naevi and/or palmar erythema
  • T: Purple or Purple edges or Static macules or Spots
    C: White
  • P: Choppy or Wiry (with pain) or Wiry and choppy
Treatment Principle
  • Activate the Blood
  • Transform Stasis
  • Unblock the Channels
  • Disperse Accumulation
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
  • Invigorate the Blood
  • Strongly break up Stasis
  • Generate new Blood
Herb Formulas
Points
Clinical Manifestations
  • Bilateral, insidious pain in the lateral costal region, made worse with pressure
  • Epigastric and abdominal distention and oppression
  • Poor appetite
  • Loose stools
  • Short, scanty urination
  • T: Pale purple
  • C: Greasy
  • P: Wiry and choppy
Treatment Principle
  • Strengthen the Spleen
  • Dispel Dampness
  • Invigorate the Blood
  • Transform Stasis
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
  • Harshly Purge Cold Accumulation
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • Ascites
  • Heaviness in the body and head
  • Aversion to Cold
  • Warming the abdomen makes it better
  • Edema of the extremities (usually not pitting)
  • Scanty urination
  • Loose stools or
  • Diarrhea
  • T: Normal
  • C: Greasy and white
  • P: Soft and moderate or Wiry and slow
Treatment Principle
  • Transform Dampness
  • Drain Fluids
  • Warm Yang
  • Disperse Cold
Herb Formulas
  • Shi Pi Yin modified
  • Chinese Patent Medicines: Fu Zi Li Zhong Wan
Points
Clinical Manifestations
  • Burning Heat, aching and pain in the lateral costal area
  • Chest and epigastric bitterness and fullness
  • Enlarged, distended abdomen
  • Vexatious heat
  • Thirst with no desire to drink
  • Red, astringent urination
  • Constipation or
  • Loose stools like rotten soy sauce
  • T: Purple-red
  • C: Grayish yellow
  • P: Wiry and rapid
Treatment Principle
  • Clear Heat
  • Disperse Dampness
  • Cool and invigorate the Blood
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
  • 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
  • Palpable masses that may or may not be painful
  • Lower abdominal pain without palpable masses
  • Lower abdominal distention
  • Lower back pain
  • Lower abdominal distention during menstruation
  • Frequent menstruation (3-5 timer per month)
  • Spotting
  • Dark purple menstrual Blood (usually with clots)
  • Abnormal uterine bleeding with abdominal soreness and pain
  • Aversion to Cold
  • Depression
  • Cold extremities
  • White vaginal discharge
  • T: Pale
  • C: White
  • P: Choppy
Treatment Principle
  • Invigorate the Blood
  • Promote the movement of Qi
  • Dispel Blood Stasis
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • Generalized edema
  • Wheezing
  • Dyspnea
  • Restlessness
  • Anuria
  • Irritability
  • Thirst
  • Constipation
  • Urinary obstruction
Treatment Principle
  • Drain downward
  • Drive out water
  • Expel Wind
  • Release the Exterior
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
  • Harmonizes the Exterior and the Interior
  • Relieves the Shao Yang
  • Dispels Water Accumulation
  • Resolves Phlegm Accumulation
Herb Formulas
Points