DEPRESSION

Clinical Manifestations
  • Depressed mood for at least two consecutive weeks
  • Sleep disturbance
  • Lack of interest
  • Feelings of guilt
  • Decreased energy
  • Decreased concentration
  • Decreased appetite
  • Psychomotor agitation/retardation
  • Suicidal ideation
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Alternating chills and fever
  • Restlessness
  • Irritability
  • Anorexia
  • Sometimes fatigue
  • May be depression
  • Occasional nausea and vomiting
  • Parietal headaches
  • Hypochondriac pain
  • Rib pain
  • Achiness
  • Ear infections
  • Hearing difficulty
  • Red eyes
  • Stiff shoulders
  • Throat pain
  • Hip pain
  • T: Normal with bumps or dots on the sides
  • C; Thin and white
  • P: Wiry
Treatment Principle
  • Harmonize the Liver and Gall Bladder
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 and forceful
Treatment Principle
  • Harmonize the Liver and Gall Bladder
  • Purge Internal Heat
Herb Formulas
Points
Clinical Manifestations
  • Alternating chills and fever
  • Restlessness
  • Irritability
  • Anorexia
  • Sometimes fatigue
  • May be depression
  • Occasional nausea and vomiting
  • Parietal headaches
  • Hypochondriac pain
  • Rib pain
  • Achiness
  • Ear infections
  • Hearing difficulty
  • Red eyes
  • Stiff shoulders
  • Throat pain
  • Hip pain
  • T: Normal with bumps or dots on the sides
  • C; Thin and white
  • P: Wiry
Treatment Principle
  • Harmonize the Liver and Gall Bladder
Herb Formulas
  • Depression #1
  • For Shao Yang Fu with Tai Yang manifesting as joint pain with a crackling sensation (symptoms are more external): Chai Hu Gui Zhi Tang
  • For Shao Yang Fu with underlying Liver Qi Stagnation manifesting as chest and hypochondriac distension, insomnia, headache and  possibly delirium: Chai Hu Jia Long Gu Mu Li Tang
Points
Clinical Manifestations
  • Mental disorientation
  • Irritability
  • Insomnia
  • Palpitations
  • Depression
  • Restlessness
  • Hopelessness
  • Sudden mood swings
  • Erratic behavior
  • Feels cold then not cold
  • Feels hot then not hot
  • Aversion to life
  • Dry mouth
  • Dry stools
  • Dry throat
  • Fatigue
  • Irregular stools
  • Lethargy
  • Mental instability
  • Obsessions
  • Craves food the hates food
  • Does not like to talk
  • Does not know what he/she wants
  • Dark urine
  • A bitter taste in the mouth
  • Dizziness
  • Muddled thinking
  • T: Red
  • C: Little or None
  • P: Slightly rapid or Weak and rapid or Thready and rapid
Treatment Principle
  • Moisten the Lungs and Heart
  • Nourish Fluids
  • Nourish Yin
  • Clear Deficiency Heat
  • Cool the Blood
Herb Formulas
Points
Clinical Manifestations
  • Sallow complexion
  • Fatigue
  • Anorexia
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools
  • Shortness of breath
  • May be depression
  • 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
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
  • Limbs icy
  • Complexion white and shiny
  • Intolerance of Cold
  • Cold extremities
  • Low back, knees and abdomen feel cold and painful
  • Lower abdomen feels cold and painful which is better with warmth and pressure
  • Loose stools containing undigested food
  • “Cock-crow” diarrhea (occurs at about 5 am)
  • May be chronic dysenteric diarrhea which is thin, watery and mucoid
  • The diarrhea may contain pus and Blood
  • The diarrhea is worse with exposure to Cold and cold foods
  • Mild tenesmus or
  • A dragging sensation in the lower abdomen which is not relieved by the diarrhea
  • Edema of face and limbs
  • Anorexia
  • Listlessness
  • Fatigue
  • Exhaustion
  • Depression
  • Dysuria
  • Extreme cases:
      Ascites
      Incontinence of stools
      Rectal prolapse
  • 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 Kidney Yang
  • Disperse cold
  • Transform Dampness
  • Astringe diarrhea
  • Raise Qi
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Stabbing or crushing pain in the anterior region over the Heart (may be chronic and relatively severe)
  • The pain is in a fixed location
  • The pain is worse at night or with sudden excitement, anger, emotion or exertion
  • May be a sensation of missed beats during an episode
  • Suffocating sensation or fullness in the chest
  • Maybe drawing pain down internal aspect of arm (especially left arm)
  • Pain (in chest and/or arm) tends to be severe and intermittent
  • Irritability
  • Restlessness
  • Easy to anger
  • Depression
  • Persistent insomnia with much dreaming
  • Dry, scaly skin
  • Broken vessels or spider naevi on the chest, face, inner knee and ankles
  • Dark rings under the eyes
  • T: Dark red with purple spots or Purple body - sublingual veins are dark and distended
  • C: Little
  • P: Minute (scarcely perceptible) and thready or Knotted or Choppy or Wiry
  • In severe cases:
    Cold limbs
    Cyanosis of lips, sclera conjunctiva and nails
Treatment Principle
  • Clear Yang
  • Transform Stagnation
  • Invigorate Blood
  • Open Heart vessels
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Insomnia
  • Restlessness
  • Agitation
  • Anxiety
  • Difficulty falling asleep
  • Dream disturbed sleep
  • Frequent waking with nightmares
  • Palpitations
  • Ulceration, erosion, and pain of mouth and tongue
  • Thirst with a desire for cold drinks
  • Restlessness
  • Irritability
  • Irascibility
  • Feeling of Heat and disturbance in the Heart
  • Flushed face
  • Bitter taste in the mouth
  • Scanty, dark urine
  • A red complexion
  • Maybe painful urination
  • Maybe hematuria
  • T: Red tip, ulcers especially on tip or Red with a redder tip
  • C: Normal or Yellow
  • P: Excess and rapid
Treatment Principle
  • Clear Heat
  • Purge Fire
  • Calm the Shen
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
  • Gradual onset
  • Depression
  • Dullness
  • Paraphasia
  • Paraphonia
  • Muteness
  • Hypersomnia
  • Anorexia
  • 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
  • Shortness of breath (especially on exertion)
  • Excessive perspiration (in daytime)
  • Symptoms worse after exertion or when tired
  • Facial pallor
  • Fatigue, weakness
  • Depression
  • Suffocating sensation in chest
  • T: Pale and swollen
  • C: White
  • P: Weak or Big and weak or Intermittent
Treatment Principle
  • Reinforce and strengthen Heart Qi
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Irritability
  • Anxiety
  • Easily startled
  • Insomnia
  • Much dreaming
  • Poor memory
  • Dizziness
  • May be depression
  • Pale face and lips
  • T: Pale
  • P: Thready and weak
Treatment Principle
  • Nourish Heart Blood
  • Calm the Heart and Shen
Herb Formulas
Points
Clinical Manifestations
  • Absent-mindedness
  • Frequent feelings of extreme sadness with an urge to cry
  • Inability to control one's emotions
  • Depression
  • Restless sleep
  • Abnormal speech or behavior
  • Disorientation
  • Frequent yawning
  • T: Red
  • C: Scanty
  • P: Small and rapid
Treatment Principle
  • Nourish the Heart
  • Calm the Shen
  • Harmonize the Middle Jiao
  • Relieve acute conditions
  • Tonify Spleen Qi
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Irritability
  • Easily startled
  • Insomnia
  • Much dreaming
  • Poor memory
  • Low grade fever
  • Night sweats
  • Five sole heat
  • Restlessness
  • Dry mouth
  • Thirst
  • Dry throat
  • Malar flush
  • May be depression
  • T: Red, dry
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Clear Heat
  • Reinforce the Heart
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Cold limbs
  • Maybe chills
  • Cyanosis
  • Suffocating sensation in chest
  • Depression
  • Facial pallor
  • T: Pale and swollen
  • C: White
  • P: Thready and weak or Knotted or Intermittent
Treatment Principle
  • Warm and clear Heart Yang
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Shortness of breath (especially on exertion)
  • Excessive perspiration (in daytime)
  • Symptoms worse after exertion or when tired
  • Facial pallor
  • Fatigue, weakness
  • Suffocating sensation in chest
  • Cold limbs
  • Maybe chills
  • Cyanosis
  • Suffocating sensation in chest
  • Depression
  • Facial pallor
  • Gradual onset
  • Depression and dullness
  • Paraphasia
  • muteness
  • Hypersomnia
  • Anorexia
  • All four limbs cold
  • Watery stools with undigested food
  • Maybe loss of consciousness
  • T: Pale and swollen
  • C: Thin
  • P: Thready and wiry

These clinical manifestations indicate a Yang Deficiency condition which involves Kidney Yang Deficiency and Spleen Yang Deficiency in addition to Heart Yang Deficiency; therefore, the Yang of the whole body is very weak.

Jue Ni literally is "collapse" and "contravection" and refers to fainting and / or cold limbs due to disturbance of the circulation of Qi and Blood

Treatment Principle
  • Return Yang
  • Relieve contravection
Herb Formulas
Points
Clinical Manifestations
  • Palpitations with or without anxiety
  • Insomnia (difficulty falling asleep)
  • Much dreaming
  • Easily startled
  • Anxiety
  • Phobias
  • Panic attacks
  • Dizziness (mild and postural, worse with sitting or rising or lying down or when fatigued)
  • Forgetfulness
  • Absent-mindedness
  • Short attention span
  • Poor memory
  • Blurred vision
  • Spots before the eyes
  • Insomnia
  • Four limbs tired and lethargic
  • Fatigue
  • Low spirits
  • Depression
  • Weakness
  • Loss of appetite
  • Distention and fullness of the epigastrium and abdomen
  • Loose stools
  • Sallow or pale complexion
  • Pale lips and nails
  • Dry skin and hair
  • Bruises easily
  • Easily bruised
  • Copious, pale menses
  • Uterine bleeding or
  • Light menstrual flow or
  • Amenorrhea
  • T: Pale, may be swollen
  • C: Thin and white
  • P: Thready and weak
Treatment Principle
  • Reinforce and Benefit the Heart and Spleen/Stomach
  • Tonify Qi and Blood
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Fear
  • Paranoia
  • There are often no physical symptoms at all
  • Insomnia or frequent waking, often early in the morning
  • Unable to fall back to sleep
  • Nightmares
  • Waking terrified
  • Easily frightened or startled
  • Easily unsettled by seeming trivial events
  • Apprehension
  • Restlessness
  • Inappropriate worry
  • Timidity
  • Phobias
  • Anxiety (frequent and severe)
  • Feeling disheartened
  • Forgetfulness
  • Frequent panic attacks
  • Palpitations
  • Shortness of breath
  • Incessant laughter and glee
  • Lethargy
  • Fatigue
  • Depression
  • Postnatal depression
  • Spontaneous sweating
  • Worry
  • Dizziness
  • T: Normal or Pale (chronic or congenital cases may show a deep narrow crack to the tip
  • C: Thin and white
  • P: Wiry and thready or Weak, thready and rapid
Treatment Principle
  • Calm the Shen
  • Tonify the Heart Qi
  • Pacify timidity
Herb Formulas
Points
Clinical Manifestations
  • Insomnia or frequent waking, often early in the morning
  • Unable to fall back to sleep
  • Nightmares
  • Waking terrified
  • Easily frightened or startled
  • Easily unsettled by seeming trivial events
  • Apprehension
  • Restlessness
  • Fearfulness
  • Inappropriate worry
  • Timidity
  • Phobias
  • Anxiety (frequent and severe)
  • Frequent panic attacks
  • Palpitations
  • Shortness of breath
  • Lethargy
  • Fatigue
  • Depression
  • Postnatal depression
  • Spontaneous sweating
  • T: Normal or Pale (chronic or congenital cases may show a deep narrow crack to the tip
  • C: Thin and white
  • P: Wiry and thready or Weak, thready and rapid
Treatment Principle
  • Strengthen Qi
  • Calm the Shen
  • Alleviate fearfulness
  • Calm the mind
  • Nourish and tranquilize the Heart
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Anxiety
  • Insomnia
  • Dream disturbed sleep
  • Nightmares
  • Hair loss
  • Spontaneous perspiration
  • Loss of appetite
  • Dizziness
  • Depression
  • Lack of motivation
  • T: Slightly pale
  • P: Hollow and slow
Treatment Principle
  • Settle the Mind
  • Calm the Shen
  • Nourish and tranquilize the Heart
Herb Formulas
Points
Clinical Manifestations
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Hypochondriac discomfort or tightness
  • Headache or head distention
  • Tendency to sigh
  • Melancholy
  • Depression
  • Occasional fatigue
  • Irritability
  • Inappropriate anger
  • Dizziness which is worse with stress and not posture related
  • Women:
    Irregular menses
    Dysmenorrhea
    Breast distention and pain before and during menses
  • T: Pink or Dark
  • C: Thin and white or thin and yellow
  • P: Wiry
Treatment Principle
  • Soothe Liver
  • Clear Stagnation
Herb Formulas
Points
Clinical Manifestations
  • A feeling of obstruction in throat as if a slice of roast meat were stuck there which cannot be coughed up nor swallowed down. This sensation becomes more prominent during emotional upset and subsides when relaxed.
  • 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: Thin and white
  • P: Slippery and wiry (slippery due to Phlegm)
Treatment Principle
  • Spread Qi
  • Resolve Phlegm.
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
  • Women:
    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
  • Epigastric pain (worse when emotionally upset)
  • Belching with acid regurgitation
  • Recurrent or chronic nausea , vomiting, sour belching and acid reflux, worse with stress and better when calm
  • Anorexia
  • Indigestion
  • Heartburn
  • Epigastric distention
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Fullness, tightness or discomfort in the chest, epigastrium and hypochondrium
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Frustration
  • anxiety
  • Moodiness
  • Women:
    Irregular menses
    Dysmenorrhea
    Breast distention and pain before and during menses
  • Premenstrual syndrome
  • T: Pink or Darkish with slightly red edges - chronic cases may be pale on the edges
  • C: Thin and white, possibly greasy
  • P: Wiry or Wiry and slippery
Treatment Principle
  • Soothe the Liver
  • Harmonize the Stomach
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
  • Insomnia
  • Difficulty falling asleep
  • Dream disturbed sleep
  • Waking in the early hours
  • Symptoms worse with stress
  • Depression
  • Frustration
  • Irritability
  • Moodiness
  • Frontal or temporal headaches
  • Shoulder and neck tension
  • Teeth grinding at night
  • Hypochondriac tension or discomfort
  • Frequent sighing
  • Dizziness
  • Sensation of something lodged in the throat
  • Irregular menstruation
  • Premenstrual syndrome
  • Breast tenderness
  • Poor appetite
  • Alternating diarrhea or constipation
  • T: Normal or Dark or with red edges
  • C:Thin white or Thin yellow or Thick yellow
  • P: Wiry
Treatment Principle
  • Soothe the Liver
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Hypochondriac discomfort or tightness
  • Headache or head distention
  • Tendency to sigh
  • Melancholy
  • Depression
  • Occasional fatigue
  • Women:
    Irregular menses
    Dysmenorrhea
    Breast distention and pain before and during menses
    Early menstruation with moderate or excessive Blood flow
  • Irritability
  • Inappropriate anger
  • Dizziness which is worse with stress and not posture related
  • May be coughing of thick, yellow sputum
  • Chest and diaphragm fullness and distention
  • May be difficulty breathing
  • Nausea
  • Overweight
  • A puffy, edematous, yellowish face
  • Fullness in the head
  • Heaviness of the limbs
  • T: Pink or Dark or Red
  • C: Thick, yellow and greasy
  • P: Wiry, slippery and rapid
Treatment Principle
  • Soothe the Liver
  • Clear Stagnation
  • Strengthen the Spleen
  • Resolve Dampness
  • Clear Heat
  • Resolve Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Severe, splitting headaches with dizziness
  • Sudden tinnitus or deafness
  • Flushed face
  • Red, swollen, painful eyes
  • Irascibility with violent angry outbursts
  • Dry mouth
  • Bitter taste in mouth
  • Thirst
  • Vomiting sour or bitter liquid
  • Insomnia
  • Restlessness
  • May be depression
  • Constipation or dry stools
  • Maybe rib pain
  • T: Red tip and edges
  • C: Thick, yellow, dry and rough
  • P: Wiry, Shi and rapid
  • In severe cases:
    Mania
    Bleeding of Excess Heat type:
    · Hemoptysis
    · Hematemesis
    · Epistaxis
Treatment Principle
  • Clear the Liver
  • Purge Fire
Herb Formulas
Points
Clinical Manifestations
  • Facial complexion pale and sallow
  • Both cheeks slightly red
  • Dizziness
  • Dry eyes
  • Blurred vision
  • Spots before the eyes
  • Numbness or spasms of limbs
  • Flaccid paralysis (Wei syndrome), weakness
  • May be long term tremors of the hand, leg, jaw or tongue
  • Tinnitus, deafness
  • Forgetfulness
  • Low back and knees sore and painful
  • Throat dry and painful
  • Five sole heat
  • Low-grade fever
  • Night sweats
  • Irritability
  • Insomnia
  • Dream disturbed sleep
  • Stools difficult to pass
  • Constipation
  • Poor memory
  • Depression
  • Emaciation
  • Dry skin
  • Men:
    Spermatorrhea
  • Women:
    Irregular menses or
    Scanty menses or
    Amenorrhea
    Vaginal discharge
  • T: Red or Red an dry
  • C: Little or none
  • P: Thready and rapid or Thready, wiry , rapid and deep
Treatment Principle
  • Nourish Yin
  • Nourish and reinforce the Liver and Kidneys.
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Blurred vision
  • Bitter taste in mouth
  • Nausea
  • Vomiting
  • Agitation
  • Restlessness
  • Irritability
  • Indecision
  • Suspiciousness
  • Palpitations with anxiety
  • Insomnia
  • Frequent sighing
  • Suffocating sensation in chest
  • May be depression
  • T: Pink
  • C: Yellow and greasy or Thin and white
  • P: Slippery and wiry or Thready and wiry- maybe rapid
Treatment Principle
  • Clear Heat
  • Transform Phlegm
  • Descend Contravecting Qi
  • Harmonize the Stomach
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
  • Depression
  • 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
  • Depression
  • Melancholy
  • Anxiety
  • Obsession
  • Irritability
  • Pain that is fixed, stabbing and/or severe or
  • Pains that move around
  • Distention
  • Pan is worse with pressure
  • Dark complexion
  • Fixed, palpable masses
  • Bleeding with clots
  • Sore throat
  • Constipation
  • Dry stools
  • Mania
  • Shortness of breath
  • Dyspnea
  • Nausea
  • Vomiting
  • Chest and/or epigastric fullness
  • Pain in the ribs
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Inappropriate anger
  • Irregular menses
  • Breast distention and pain before and during menses
  • 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
  • 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: Pink or Purple, possible purple or red spots or Thick
  • C: White or Greasy and white or Greasy and yellow
  • P:Wiry or Choppy or Wiry and choppy or Slippery
Treatment Principle
  • Regulate Qi
  • Activate the Blood
  • Clear Heat
  • Relieve toxicity
  • Cool the Blood
  • Transform Phlegm
  • Relieve Food Stagnation
  • Open the Orifices
Herb Formulas
Points
Clinical Manifestations
  • Depression
  • Irritability
  • Feeling of oppression in the chest
  • Plum-seed Qi Stagnation
  • Enlarged thyroid gland
  • T: Red
  • C: Thin and greasy
  • P: Wiry or Slippery-wiry
Treatment Principle
  • Resolve phlegm
  • Regulate Qi circulation
  • Soothe the Liver
Herb Formulas
Points

Clinical Manifestations
  • 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
  • Reduced appetite
  • 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
  • Relieve spasmodic pain
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Stubborn, fixed, boring headache
  • Forgetfulness
  • Insomnia (persistent with much dreaming)
  • Restless sleep
  • Palpitations
  • Depression
  • Low spirits
  • Low grade fever at night
  • Irritability
  • Short temper
  • Mood swings
  • Dark or purplish lips, conjunctiva and nails
  • Dark complexion
  • Dark sclera
  • Dark circle under the eyes
  • Dry, scaly skin
  • Hair loss on the head and body
  • Spider naevi on the cheeks, nose, trunk, inner knee and ankle
  • Chronic gum disease with dark, purplish, patchy or dark, red atrophic gums
  • Loose teeth
  • Painful receding gums
  • Frequently bleeding gums
  • T: Purplish or Dark with brown or purple spots
  • P: Wiry and choppy or thready or Deep and choppy or Wiry
Treatment Principle
  • Invigorate the Blood
  • Eliminate Blood Stasis
  • Regulate the Qi
  • Clear the channels
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Chest fullness and oppression
  • General malaise
  • Maybe nausea
  • Sudden fall and loss of consciousness
  • Convulsions
  • Incontinence of urine and stool
  • Maybe a transient loss of consciousness or falling into a trance without convulsions
  • Spitting up frothy saliva
  • Worsens with cold weather or when the patient has a cold
  • T: Pink
  • C: Thick, sticky and white or White and slimy
  • P: Slippery or Taut and slippery
Treatment Principle
  • Tonify Spleen Yang
  • Eliminate Phlegm
  • Extinguish Wind
  • Stop convulsions
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Vertigo
  • Nausea and vomiting
  • Insomnia
  • Dream-disturbed sleep with unusual dreams
  • Palpitations
  • Anxiety
  • Profuse white foamy sputum
  • Restlessness
  • Timidity
  • Indecisiveness
  • Indeterminate gnawing hunger
  • Seizures accompanied by copious sputum
  • Chest distention
  • Expectoration of yellow Phlegm
  • Bitter taste in the mouth
  • Chills and fever
  • Abdominal distention
  • Frequent dark, scanty urine
  • Irritability
  • Depression
  • Slight thirst
  • Anorexia after serious illness
  • T: Pink or Red tip
  • C: Yellow and greasy
  • P: Slippery and rapid or Wiry and rapid
Treatment Principle
  • Regulate Qi
  • Transform Phlegm
  • Clear the Gallbladder
  • Harmonize the Stomach
  • Clear Heat
Herb Formulas
Points
General
  • Gu Syndrome describes a state of chronic infection by fungi, bacteria, or viruses. It is a complex of systemic infection involving a host with a weakened constitution. Treatment is lengthy.
  • It is quite complicated with most patients presenting with a triad of pathological syndromes including: Liver Qi Stagnation, Spleen and Stomach Qi Deficiency and Damp-Heat. It also may include Food Stagnation, Blood and Yin Deficiency, Shen disturbance and Phlegm.
Clinical Manifestations
  • Abdominal pain
  • Abdominal fullness and/or distention
  • Chronic diarrhea or
  • Alternation diarrhea and constipation
  • Nausea and vomiting
  • Loss of appetite
  • Nervous hunger or
  • Odd food cravings
  • Muscle soreness, heaviness or weakness
  • Wandering pains
  • Physical and mental exhaustion
  • Depression
  • Mood swings
  • Easily angered
  • Confusion
  • Restlessness
  • Disordered thought patterns
  • Fluid retention
  • T: Variable including dark or pale with teethmarks or with reddish edges
  • C: Variable including thick white or yellow
  • P: Variable
Treatment Principle
  • Strengthen the Spleen and Stomach
  • Tonify Qi
  • Clear Damp or Damp-Heat or Stagnant Heat
  • Regulate Liver Qi
  • Fragrantly disperse Gu patterns
Herb Formulas
Points
General
  • Bai He Syndrome – “Lily Disease,” named for the major herb that treats it, is a form of mental depression with depressed emotions, anxiety, taciturnity, a desire to sleep without being able to, a desire to walk without being able to and a subjective feeling of Cold or Heat. It follows either a warm disease, in which case it is of sudden and recent onset, or emotional problems which have damaged Heart Yin, in which case it is enduring and progressive in nature.
  • The name Bai He has two meanings: 1. Bai means ‘hundred’ and He means meeting/communicating’. There is a saying “All the hundred branches (i.e. the channels and collaterals) originate in the Heart and meet in the Lung”. Thus the syndrome mainly relates to the Lung; 2. Bai He is the name of the herb (Bulbus Lilii) in the Chinese pharmacopoeia which nourishes Lung Yin and Heart Yin and pacifies Heart-Fire, and is used to treat this syndrome.
    The main symptoms of Bai He syndrome are:
    Absentmindedness (being in a ‘trance’)
    An abnormal appetite and behavior
    A bitter taste in the mouth
    A slightly rapid pulse
    The main Zang involved are:
    Lung
    Heart
    Spleen
  • It is generally caused by injury due to excess of the seven emotions, and often begins with depression which damages the Heart and Lung Yin. Sometimes Bai He Syndrome develops after a febrile disease that damages the Yin of the Heart and Lung leading to emotional problems.
    The Heart stores the Shen; when the Heart is injured, the Shen is disturbed. The ‘intellectual function’ of the Lung is to store the Po. When the Po is disturbed, the patient is usually absent-minded and, because the Po belongs to the Lungs, easily suffers from sadness and grief; when the Po is uneasy the patient suffers from hallucinations. The general treatment principle for Bai He Syndrome is to treat the Heart and Lung, concentrating on whichever of these two Zang most predominates.
Clinical Manifestations
  • See Lily Syndrome
  • The main symptoms of Bai He syndrome are:
    Absentmindedness (being in a ‘trance’)
    An abnormal appetite and behavior
    A bitter taste in the mouth
    A slightly rapid pulse
  • The main Zang involved are:
    Lung
    Heart
    Spleen
Treatment Principle
Herb Formulas
Points