COLITIS, ULCERATIVE COLITIS

Clinical Manifestations
  • Passage of watery stool and pus
  • Abdominal pain or tenderness
  • Colic
  • Intermittent or irregular fever
  • May be hemorrhage
  • May be perforation
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Fever
  • Sweating
  • Thirst
  • Dysenteric diarrhea
  • Foul-smelling stools
  • A burning sensation around the anus
  • Gasping
  • Ephidrosis
  • Palpitations
  • Tenesmus
  • Maybe red tinged urine
  • Irritability and Heat in the chest and epigastrium
  • Stiffness and spasms at the back of the neck
  • Dry mouth
  • Dyspnea with perspiration
  • Maybe wheezing
  • T: Red
  • C: Yellow (Greasy)
  • P: Rapid
Treatment Principle
  • Release the Exterior
  • Clear Internal Yang Ming Heat
  • Stop diarrhea
Herb Formulas
Points
  • General 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
  • T: Pale or pink
  • C: White
  • P: Slow and tight or Soft
Treatment Principle
  • Release the Exterior
  • Warm the Interior
  • Tonify Qi
  • Relieves distention
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Abdominal pain (worse with pressure)
  • The skin over the pain may feel warmer to the touch
  • High fever (sometimes rises and falls)
  • Great thirst
  • A dry mouth
  • Profuse perspiration
  • Aversion to Heat
  • Abdominal fullness and distension (worse with pressure)
  • Dryness
  • Constipation (hard dry knots)
  • Dislikes pressure
  • Restlessness
  • Irritability
  • Concentrated urine
  • 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
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
  • Chronic colitis
  • 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
  • For pain and Cold: moxa the abdomen
  • To strengthen the Spleen and Stomach: LIV-13, REN-10, ST-36, UB-20, UB-21 (moxa if severe)
  • For abdominal pain and nausea: PC-6, SP-4, ST-25
  • For frequent, clear urination: moxa REN-4, REN-6, UB-23
  • For diarrhea: moxa REN-8
  • Use few needles with deep insertion and moxa
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
  • For pain and Cold: moxa the abdomen
  • To strengthen the Spleen and Stomach: LIV-13, REN-10, ST-36, UB-20, UB-21 (moxa if severe)
  • For abdominal pain and nausea: PC-6, SP-4, ST-25
  • For frequent, clear urination: moxa REN-4, REN-6, UB-23
  • For diarrhea: moxa REN-8
  • Use few needles with deep insertion and moxa
Clinical Manifestations
  • Aversion to Cold
  • Curls up a lot
  • Doesn't like to talk
  • Tired (disoriented)
  • No spirit
  • Dull Shen
  • Cold extremities
  • Diarrhea or loose stools or undigested food
  • Clear, frequent urine
  • Maybe nausea (wants to vomit but can't)
  • No thirst
  • Likes warm drinks
  • Severe edema in chest
  • T: Pale
  • C: White
  • P: Sinking and weak
Treatment Principle
  • Restore Yang
  • Reverse inward energy
  • Expel Cold
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
  • Dry stools
  • Knotted constipation
  • Mouth parched
  • Sensation of burning heat, swelling and pain of anus
  • Urine short and dark
  • T: Pink
  • C: Yellow and dry
  • P: Slippery and rapid
Treatment Principle
  • Clear Heat
  • Purge 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
  • Belching
  • Flatulence
  • Heartburn
  • Sacral pain
  • Dry, itchy eyes
  • Maybe weakness
  • Maybe dizziness
  • 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 or Pale with red edges
  • C: Yellow and greasy
  • P: Slippery and rapid or Rapid and deep or Thin and soggy
Treatment Principle
  • Clear Heat
  • Transform Dampness
  • Stop dysentery
Herb Formulas
Points
Clinical Manifestations
  • Bleeding of fresh Blood from the bowel which often precedes the bowel movement
  • The bleeding may follow the passage of stool
  • The bleeding may be alarmingly copious
  • Abdominal pain or
  • Absence of pain, itching, swelling or distention or
  • A burning sensation in the rectum and anus
  • Dry mouth
  • Tendency toward constipation
  • Dry or difficult stools
  • T: Red
  • C: Yellow
  • P: Slippery and rapid or Thready and rapid
Treatment Principle
  • Clear Heat from the Intestines
  • Cool the Blood
  • Stop bleeding
Herb Formulas
  • Huai Jiao Wan modified
  • Huai Hua San modified
  • Topical: Mix 3g Alumen Ming Fan in a little water, dissolve 30g petroleum jelly and mix in the Ming Fan. Place on sterile gauze and insert into the anal canal.
  • Chinese Patent Medicines:
    Yi Zi Tang
    Zheng Gan Zhi Gen Duan

    To stop bleeding:
    Yun Nan Bai Yao

    Shen Tian Qi Pian
    For Intestinal bleeding with Heat: Zhong Gan Zhi Gen Dan
    For Damp-Heat: Huang Lian Jie Du Wan
    With Spleen and Stomach Deficiency: Xiang Sha Yang Wei Wan
Points
  • Ahshi points, DU-1, Erbai, SP-1, ST-25, ST-37, UB-30, UB-32, UB-57
    With pain in the rectum or lower Intestine: + UB-2, UB-52
    With severe bleeding: + PC-4, SP-10
  • Ear:
    1. Large Intestine, Small Intestine, Distal Segment Rectum, Subcortex, Shenmen
    2. Hemorrhoids, Large Intestine, Distal Segment Rectum, Shenmen
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
  • Acute or chronic, recurrent diarrhea which can range from loose to watery and urgent
  • The patient may double up in an attempt to warm up the abdomen
  • Worse with pressure
  • Distention and fullness of epigastrium and abdomen
  • Colicky or cramping abdominal pain
  • Borborygmus
  • Nausea
  • Vomiting
  • Anorexia
  • A reduced sense of taste
  • Loose stools
  • Reduced sensation of taste
  • No thirst or preference for hot drinks
  • Sticky sensation in mouth
  • Lassitude
  • An increased desire to sleep
  • Yin jaundice
  • Heavy head and body
  • Maybe edema
  • Maybe copious white vaginal discharge
  • Maybe cold limbs, fear of Cold or feeling chilled
  • Clear urine
  • T: Pink
  • C: Thick, white and greasy or sticky
  • P: Deep and slow or Moderate and slippery or Soft
Treatment Principle
  • Warm Cold
  • Transform Dampness
  • Harmonize the Stomach
  • Strengthen the Spleen
  • Stop diarrhea
Herb Formulas
Points
Clinical Manifestations
  • Sallow complexion
  • Fatigue
  • Anorexia
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools
  • Borborygmus
  • 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
  • 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 + general points
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
  • Chronic loose stools or diarrhea which may contain undigested food
  • The stools may be urgent
  • Early morning diarrhea
  • Dark, purplish or pale Blood preceding, following or
  • Black, tarry or Blood-streaked loose stools (the bleeding may also be occult)
  • Dull, persistent abdominal or epigastric cold-pain which improves with warmth and pressure
  • Sallow complexion
  • Anorexia (maybe with vomiting)
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Intolerance to Cold
  • Shortness of breath
  • Cold abdomen
  • Cold limbs
  • Feeling chilled
  • Frequent, clear urination
  • Mental fatigue
  • Weakness
  • Exhaustion
  • Maybe scanty urine with edema
  • Maybe clear, watery vaginal discharge
  • T: Pale, wet and swollen with toothmarks
  • C: Thin and white
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
  • Loose stools or watery diarrhea
  • 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
  • Edema
  • Reduced appetite
  • Diarrhea with onset of menstrual flow
  • Cough with copious sputum
  • Leukorrhea in obese women
  • T: Pale or Pale red
  • C: White - maybe greasy
  • P: Thready and even or Even and Deficient
Treatment Principle
  • Augment Qi
  • Strengthen the Spleen
  • Resolve Dampness
  • Stop diarrhea
Herb Formulas
Points
  • General points
Clinical Manifestations
  • “Cock-crow” diarrhea (occurs at about 5 am)
  • The diarrhea is often watery with undigested food
  • borborygmus and/or periumbilical pain may precede the diarrhea and ease after defecation
  • The patient may be exhausted
  • Body cold
  • Limbs icy
  • Complexion white and shiny
  • Low back, knees and abdomen feel cold and painful
  • Lower abdomen feels cold and painful, better with warmth and pressure
  • Intolerance of Cold
  • Anorexia
  • Poor digestion
  • Abdominal distention
  • Copious, clear urine
  • Nocturia
  • Fatigue
  • Exhaustion
  • General disinterest
  • Increased desire to sleep
  • Loose stools containing undigested food
  • Edema of face and limbs
  • Dysuria
  • Severe:
    Abdominal ascites
    Fecal incontinence
  • T: Pale, moist and swollen with toothmarks
  • 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
  • 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
  • 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 and Intestines
  • Descend Rebellious Qi
  • Disperse clumping
  • Eliminate focal distention due to Cold and Heat factors
Herb Formulas
Points
  • General 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
  • Cold extremities
  • 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 Intestines
  • Drain Heat
  • Calm the Stomach
  • Relieve pain
Herb Formulas
Points
  • General 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
  • Gui Pi Tang modified
  • Chinese Patent Medicines:
    Gui Pi Wan
    With Cold or Spleen Yang Deficiency: Li Zhong Wan
Points
Clinical Manifestations
  • The condition is initiated or aggravated by anger, stress or emotional upset and alleviated by relaxation
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Headache
  • 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
  • Clear Stagnation
Herb Formulas
  • Chai Hu Shu Gan Tang
  • Tian Tai Wu Yao San modified
  • For Spleen Qi Stagnation with constipation: Liu Mo Tang
  • With pain and urgent diarrhea: Tong Xie Yao Fang
  • With Qi and Blood Deficiency: Xiao Yao San
  • Affecting the Liver channel and genitals: Tian Tai Wu Yao San
  • Chinese Patent Medicines:
    Chai Hu Shu Gan Wan
    With sluggish bowels and Food Stagnation: Mu Xiang Shun Qi Wan
    With constipation: Chen Xiang Hua Qi Wan
    For Qi Stagnation type pain: Shu Gan Wan
    With Qi and Blood Deficiency: Xiao Yao Wan
Points
Clinical Manifestations
  • Recurrent diarrhea which may be preceded by cramping abdominal pain
  • The pain is relieved by defecation
  • Diarrhea may alternate with constipation
  • The diarrhea may be explosive and initiated by stress or tension or eating
  • There may be mucus or Blood in the stool
  • Abdominal distention
  • Flatulence or belching may relieve the abdominal discomfort
  • Gas
  • Borborygmus
  • Anorexia
  • Nausea
  • Heartburn
  • Indigestion
  • Distention and pain in the sides or flanks
  • Hypochondriac ache, discomfort or tightness, usually worse on the right side
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Moodiness
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • Shoulder and neck tension
  • Temporal or tension headaches
  • T: Darkish pink or Pale or Slightly red edges
  • C: White and greasy
  • P: Wiry or Slippery and wiry
Treatment Principle
  • Soothe the Liver
  • Invigorate the Spleen
  • Alleviate pain
  • Stop diarrhea
Herb Formulas
Points
Clinical Manifestations
  • Hypochondriac pain and distention
  • Indeterminate gnawing hunger
  • Epigastric distention and pain
  • Vomiting
  • Acid regurgitation
  • Belching
  • Bitter taste
  • Dry mouth
  • Nausea
  • Dry lips
  • Hiccups
  • T: Red
  • C: Yellow
  • P: Wiry and rapid
Treatment Principle
  • Soothe the Liver
  • Harmonize the Stomach
  • Clear Heat
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
  • 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
  • Pain that is fixed, stabbing and /or severe
  • Pan is worse with pressure
  • Dark complexion
  • Fixed, palpable masses
  • Bleeding with clots
  • Purple lips
  • Purple nails
  • Dry skin
  • Blue, dark or purplish discoloration of skin in small or large areas,
  • Varicose and spider veins
  • Cold hands and feet
  • Tendency to hemorrhage dark blood or clots
  • T: Purple, possible purple or red spots
    Red purple if there is Heat
    Blue purple if there is Cold
  • C: White
  • P: Choppy or Wiry and choppy
Treatment Principle
  • Invigorate the Blood
  • Dispel Blood Stasis
  • Spread Liver Qi
  • Unblock the channels
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Abdominal pain
  • Constipation
  • Hypochondriac pain
  • 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
  • P: Deep, tight and wiry
Treatment Principle
  • Warm the Interior
  • Disperse Cold
  • Unblock the bowels
  • Alleviate pain
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Anorexia
  • Intermittent abdominal fullness, distention and discomfort
  • The distention is generally worse in the afternoon or after eating
  • The abdomen feels firm and may appear swollen
  • Suffocating sensation in the chest
  • Epigastric mass
  • Maybe abdominal pain on palpation
  • Yang jaundice (sclera and skin are bright yellow)
  • Dislike of oily foods
  • Greasy skin
  • Red complexion
  • Maybe strong body odor
  • Nausea and vomiting
  • Lassitude
  • Heavy sensation in the body
  • Scanty, dark urine
  • Maybe thirst or thirst with no desire to drink
  • Dry mouth
  • Diarrhea with foul smell or
  • Constipation
  • Fever or afternoon fever
  • Restlessness
  • Irritability
  • Sweet sticky taste or bitter taste in mouth
  • T: Normal or Thick
  • C: Thick, yellow and greasy (maybe sticky)
  • P: Soft and rapid or Slippery and rapid
Treatment Principle
  • Clear Heat
  • Benefit Dampness
  • Strengthen the Spleen and Stomach
  • Regulate Qi
Herb Formulas
Points
Clinical Manifestations
  • Sudden onset of frequent, explosive diarrhea with copious fresh red, dark red or purple Blood
  • The Blood may contain mucus and pus
  • There may be diarrhea like bloody water
  • High fever (abrupt onset)
  • Thirst
  • Dryness
  • Dehydration
  • Pounding headache
  • Restlessness
  • Irritability
  • Severe abdominal pain
  • Tenesmus
  • Red, purple Blood and pus in the stool
  • Malaise
  • Red lips
  • Diarrhea without eating
  • Prefers cold drinks
  • Trismus
  • Nausea
  • Vomiting
  • Severe:
    Delirium
    Confusion
    Muscular spasms
    Convulsions
    Cold limbs
    Skin rashes
    Respiratory problems
  • T: Deep red
  • C: Yellow and dry
  • P: Forceful and rapid (if shock, weakens or disappears) or Slippery and rapid
Treatment Principle
  • Disperse Heat
  • Detoxify
  • Cool the Blood
  • Stop dysentery
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
  • 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
  • Abdominal pain
  • Loose stools
  • Diarrhea
  • Mucus and bloody pus in the stools
  • Maybe skin vesicles
  • Heavy extremities
  • T: Pink
  • C: Greasy and yellow
  • P: Soft and rapid or Slippery and rapid
Treatment Principle
  • Clear Heat
  • Resolve Damp and turbidity
Herb Formulas
Points
Clinical Manifestations
  • Pterygium
  • Tinnitus
  • Hearing loss
  • Diminished visual and aural acuity
  • Blurred vision
  • Abdominal pain
  • Dizziness
  • Light headedness
  • Anorexia
  • Spontaneous sweating
  • Chronic diarrhea
Treatment Principle
  • Strengthens and raises the Qi of the Middle Jiao
  • Improves visual and aural acuity
  • Stop vertigo
Herb Formulas
Points
  • General 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
  • Reduce swelling
Herb Formulas
Points
  • General points