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DIABETIC NEUROPATHY

GENERAL

Clinical Manifestations
Treatment Principle
Herb Formulas
Points

DISHARMONY BETWEEN THE LIVER AND SPLEEN

Clinical Manifestations	Abdominal pain Irritability Slight chills Spasms of the calf muscles Cramps in the hands Weak legs Hypertonicity of the extremities characterized by difficult flexion and extension Wheezing Coughing Hiccup Constipation Vomiting Diarrhea Sciatic pain Severe and painful muscle spasms in the Stomach, bronchi, Gallbladder and uterus. Intestines Shoulder pain Pain in the head, body or limbs due to arterial spasms characterized by a severe pulling pain T: Normal or Reddish C: None or Yellowish P: Wiry and rapid or Thready and rapid
Treatment Principle	Soften the Liver Nourish the Blood Nourish Yin Moderate painful spasms Relieve pain Harmonize the Middle Jiao Replenishes Body Fluids
Herb Formulas	Shao Yao Gan Cao Tang
Points

KIDNEY YANG DEFICIENCY WITH WATER FLOODING

Clinical Manifestations	Edema of whole body particularly at and below the waist Pitting edema Low back pain, aching and heaviness Abdominal distention with full sensations Oliguria Cold limbs Face gray and congested or pale Feeling nervous and cold with mental weariness In severe cases: Ascites Edema of scrotum T: Pale and swollen C: Thin, white or Thick, white and sticky P: Deep and thready
Treatment Principle	Warm Kidneys Promote diuresis
Herb Formulas	Ji Sheng Shen Qi Wan Jia Wei Shen Qi Wan
Points	KI-7, REN-6, REN-9, SP-6, SP-9, ST-28, ST-36, UB-20, UB-22, UB-23, UB-39

BLOOD STAGNATION

Clinical Manifestations	Palpitations Dizziness Blurred vision Pale, lusterless complexion Pale nails Abdominal pain Irregular menstruation with little flow Fixed lower abdominal pain Vertigo Muscle ache of the neck, back, legs and shoulder Whole body pain Shoulder pain Elbow pain Pain at the waist Arm pain Low back pain Leg pain Tinnitus Pale lips May be amenorrhea Insomnia Menstruation may also be accompanied by distention and pain T: Pale or Purple C: Normal P: Thin and weak or Thin and choppy
Treatment Principle	Invigorate the Blood Dispel Blood Stasis Drain Dampness
Herb Formulas	Zhu Yu Tang
Points

BLOOD STAGNATION DUE TO A MILD ATTACK OF WIND COLD WITH QI DEFICIENCY

Clinical Manifestations	Relatively superficial numbness without pain Paresthesia and numbness of the skin and flesh Paresthesia of the shoulders Neck and shoulder stiffness and pain Abdominal pain alleviated by warmth and pressure Pale complexion Hemiplegia Stiff tongue Flaccidity if the extremities Migratory pain Pain, weakness, tightness or spasms of the extremities Spontaneous sweating Shortness of breath Aphasia Excess salivation Aversion to Wind T: Normal or Thick C: White or Smooth and white or White and greasy P: Faint, choppy and tight or Slightly rough and tight or Large and weak or Slow and large
Treatment Principle	Tonify Qi and Blood Warm and harmonize the channels and collaterals Harmonize the Ying and Wei Unblock painful obstruction Warm the Middle Jiao Dispel Cold Alleviate pain Harmonize Yin and Yang
Herb Formulas	Huang Qi Gui Zhi Wu Wu Tang
Points

BLOOD DEFICIENCY WITH BLOOD STAGNATION

Clinical Manifestations	Copious bleeding of dark purple blood The blood is sticky during menstruation May or may not have clots Menstrual cycle is shortened (early menstruation) Palpitations Dizziness Blurred vision Pale, lusterless complexion Pale nails Abdominal pain Irregular menstruation with little flow Fixed lower abdominal pain Vertigo Tinnitus Pale lips May be amenorrhea Insomnia Menstruation may also be accompanied by distention and pain T: Pale C: Normal P: Thin and weak or Thin and choppy
Treatment Principle	Tonify and invigorate the Blood Regulate Blood circulation Break up Blood Stagnation Regulate menstruation Alleviate pain
Herb Formulas	Tao Hong Si Wu Tang
Points

DAMP-HEAT

Clinical Manifestations	Soreness, heaviness and lack of strength of the four extremities or of the two lower extremities Possible progressive paralysis or atrophy Insensitivity, numbness or tingling of the four extremities Limb aching and pain Burning Heat which is ameliorated by Cold Generalized fever which is not easily alleviated Possible deviation of the face, mouth and eyes Poor appetite Thirst with no desire to drink Nausea/vomiting Abnormal vaginal discharge Red, hot, rough, painful urination Loose stools T: Red C Slimy and yellow P: Rapid or Slippery and rapid
Treatment Principle	Clear Heat Eliminate Dampness
Herb Formulas	Qing Xin Lian Zi Yin
Points