DIARRHEA

Clinical Manifestations
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Chills and fever
  • Anhidrosis
  • Stiff and rigid neck, shoulders and upper back
  • Intolerance of Wind
  • Dislike of Cold
  • Inflammation
  • Diarrhea
  • Muscle spasms
  • Mucosal swelling
  • Nasal congestion
  • Sensitivity to dust
  • Headache
  • Wind-Cold Bi (few joints affected, inflammation intense but short lived, changes over days or weeks)
  • T: Normal
  • C: Thin and white
  • P: Floating and tight
Treatment Principle
  • Expel Wind
  • Dispel Cold
  • Ventilate the Lungs
  • Resolve Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Chills and fever
  • Aversion to Cold
  • Headache
  • Anhidrosis
  • Chest and/or gastric distension
  • Gastric pain
  • Nausea
  • Vomiting
  • Borborygmus
  • Diarrhea (acute)
  • Abdominal pain
  • Thirst
  • Dry throat
  • T: Normal
  • C: Greasy and white
  • P: Floating and tight
Treatment Principle
  • Disperse Wind
  • Relieve the Exterior
  • Tonify the Spleen and Stomach
Herb Formulas
Points
Clinical Manifestations
  • Acute or recurrent, frequent, urgent, foul smelling, hot diarrhea
  • A burning sensation in the anus and/or
  • Tenesmus
  • Fever or
  • Afternoon fever
  • Unproductive sweating which tends to come in waves and is worse in the afternoon
  • Thirst
  • Restlessness
  • Irritability
  • Gasping
  • Palpitations
  • Tenesmus
  • Cramping abdominal pain
  • 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
  • Concentrated scanty urine
  • T: Red
  • C: Yellow and greasy
  • P: Rapid or Slippery and rapid
Treatment Principle
  • Release the Exterior
  • Clear Internal Yang Ming Heat
  • Raise Yang to stop diarrhea
Herb Formulas
Points
  • LI-11, SP-9, ST-25, ST-37, ST-44, Zhixie
    With high fever: + DU-14, LI-4
    With nausea: + PC-6
    With sudden, severe diarrhea, vomiting and fever: + bleed or needle PC-3, UB-40
  • Ear: Large Intestine, Small Intestine, Spleen, Abdomen, Distal Segment Rectum, Sympathetic
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
Treatment Principle
  • Release the Exterior
  • Warm the Interior
  • Tonify Qi
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, forceful
Treatment Principle
  • Harmonize the Liver and Gall Bladder
  • Purge Internal Heat
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
  • 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
Clinical Manifestations
  • Severe aversion to Cold
  • Body curled up
  • Icy cold extremities
  • Vomiting
  • Diarrhea
  • Absence of thirst
  • Abdominal pain
  • Lack of energy
  • A constant desire to sleep
  • Shivering
  • Foaming at the mouth
  • Lips and nails purplish
  • T: Pale
  • C: White
  • P: Deep and thready or Impalpable
Treatment Principle
  • Rescues Yang (emergency)
  • Strengthens Qi
  • Generates the pulse
Herb Formulas
Points
Clinical Manifestations
  • Aversion to Cold
  • Curls up a lot
  • Doesn't like to talk
  • Tired (disoriented)
  • Fatigue
  • Constant somnolence
  • Sleeping with the knees drawn up to the chest
  • Generalized edema
  • No spirit
  • Dull Shen
  • Cold extremities
  • Aching and heaviness in the extremities
  • Diarrhea or loose stools or undigested food
  • Clear, frequent urine
  • Nocturia
  • Oliguria
  • Lower back pain
  • Maybe nausea (wants to vomit but can't)
  • Abdominal pain which is relieved by warmth and pressure
  • No thirst
  • Cough with thin, watery mucus
  • Likes warm drinks
  • Severe edema in chest
  • Palpitations
  • Dizziness
  • T: Pale, swollen and moist
  • C: White and greasy
  • P: Deep and weak or Slow, deep and weak
Treatment Principle
  • Restore Yang
  • Reverse inward energy
  • Expel Cold
Herb Formulas
Points
Clinical Manifestations
  • Vomits clear fluid
  • Vertex headache
  • Body cold
  • Diarrhea
  • Complete exhaustion of Yang
  • T: Pale
  • C: White
  • P: Weak.
Treatment Principle
  • Warm Yang especially in the Liver and Stomach
  • Descend turbidity
Herb Formulas
Points
Clinical Manifestations
  • Delirium
  • Heat in upper body
  • Cold in lower body
  • Sensation of Qi rushing to the chest
  • Vomits worms
  • Persistent thirst
  • Feverishness
  • Anorexia (hungry but can't eat)
  • Chronic diarrhea
  • Cold extremities
  • Maybe edema
  • Vertex headache
  • Vomits food
  • Cardiac Heat with pain
  • T: Red or pink or pale and flabby
  • C: Thick and greasy or thin
  • P: Deep, thready and weak or wiry
Treatment Principle
  • Clear worms
  • Clear Heat (Do not purge, create diaphoresis, or create emesis)
  • Revive Yang
Herb Formulas
Points
Clinical Manifestations
  • Fever and chills, fever more pronounced or
  • Tidal fever
  • Abdominal distention
  • Thirst
  • Sweat
  • Stifling sensation in the chest
  • Restlessness
  • 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
  • Severe acute diarrhea possibly watery and urgent
  • Mild fever and chills or
  • Tidal fever
  • Abdominal distention
  • Thirst
  • Anhidrosis
  • Generalized muscle aches
  • Heaviness in the head and body
  • Nausea and vomiting
  • Borborygmus
  • Indigestion
  • Scanty urine
  • Generalized headache or
  • A dull occipital headache
  • Foggy-headedness
  • Chest and gastric fullness and oppression
  • Pain and cramping in the epigastrium and abdomen
  • Loss of taste
  • Aversion to Cold
  • Lethargy
  • Malaise
  • Cough
  • No perspiration
  • Sore throat
  • T: Normal
  • C: Thin and white or Greasy and white
  • P: Floating and soft or Slippery and possibly tight
Treatment Principle
  • Disperse Wind
  • Clear Summerdamp
  • Dispel Cold
  • Transform and eliminate Dampness
Herb Formulas
Points
  • LI-4, LI-11, SP-9, ST-25, ST-37, UB-25, Zhixie
    With a high fever: + DU-14, SJ-5
    With chills and an occipital headache: + DU-14, UB-13
    With nausea: + PC-6
    With myalgia: + SP-21
    With foggy-headedness: + DU-20, Yintang
    With sudden, severe diarrhea, vomiting and a fever: + bleed PC-3, UB-40
    With severe, gripping pain that precedes the diarrhea: + Moxa the abdomen
  • Ear: Lungs, Large Intestine, Small Intestine, Spleen, Abdomen, Sympathetic
Clinical Manifestations
  • High fever worse at night
  • Thirst
  • Insomnia
  • Major mental problems
  • Dramatic change of personality
  • Delirium
  • Speech difficulty
  • Aphasia
  • Poor memory
  • Dizziness
  • Maybe fainting
  • Maybe coma
  • Maybe diarrhea
  • Feverish extremities
  • T: Deep red
  • P: Thready and rapid
Treatment Principle
  • Clear Heat in Pericardium
Herb Formulas
Points
Clinical Manifestations
  • Protracted, incessant cough
  • Expectoration of copious, clear, watery or white Phlegm
  • Short, weak, breathing
  • Asthma
  • Four limbs tired
  • Anorexia
  • General lassitude
  • Distention and pain of the epigastrium and abdomen
  • Loose stools
  • Severe cases:
    Frightens easily
  • T: Pale
  • C: White
  • P: Thready and weak
Treatment Principle
  • Reinforce the Spleen
  • Benefit the Lungs
  • Warm and transform Phlegm-Dampness
Herb Formulas
Points
Clinical Manifestations
  • Shortness of breath (difficult to inhale)
  • Dyspnea exacerbated by exertion
  • Asthma (inhalation difficult)
  • Soft, weak voice
  • Spontaneous perspiration
  • Aversion to Wind
  • Emaciated body
  • Exhausted Shen
  • Dispirited
  • Limbs cold
  • Face blue-green-colored
  • Maybe superficial edema of limbs and body
  • Maybe dysuria
  • Maybe stress incontinence on coughing
  • T: Pale, moist and swollen
  • C: White
  • P: Deep and thready or Weak
Treatment Principle
  • Nourish the Lungs
  • Soothe asthma
  • Reinforce the Kidneys to Grasp Qi
Herb Formulas
Points
Clinical Manifestations
  • Knotted constipation or
  • Watery, thin diarrhea
  • 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 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
  • 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
  • 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
  • C: Yellow and greasy
  • P: Slippery and rapid
Treatment Principle
  • Clear Heat
  • Transform Dampness
  • Stop dysentery
Herb Formulas
Points
Clinical Manifestations
  • Pain in the lower right abdomen; refuses pressure
  • Pain may be severe, boring, and in a fixed position or without fixed location
  • Constipation or
  • Mild diarrhea
  • Maybe fever
  • Maybe nausea and vomiting
  • Anorexia
  • T: Red
  • C:Thick, yellow and greasy or sticky
  • P: Rapid
Treatment Principle
  • Clear Heat
  • Transform Dampness
  • Invigorate Blood circulation
  • Conduct Stagnation
Herb Formulas
Points
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
  • Anorexia
  • 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
  • Nausea
  • Vomiting
  • Lassitude
  • Scanty, dark urine
  • Maybe thirst or thirst with no desire to drink
  • Diarrhea with foul smell or
  • Constipation
  • 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
  • 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
  • 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
  • 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
  • Indigestion
  • A sensation of oppression in the chest
  • Abdominal pain
  • Nausea
  • Vomiting
  • Diarrhea
  • Postpartum abdominal fullness and distention
  • Abdominal fullness and distention with nausea and vomiting
  • T: Pale and swollen
  • C: Thick, white and greasy
  • P: Slippery and even or Slow or Moderate
Treatment Principle
  • Strengthen the Spleen and Stomach
  • Harmonize the Middle Jiao
Herb Formulas
Points

Clinical Manifestations
  • Frequent loose stools or diarrhea
  • There may be mucus in the stool
  • The diarrhea may be constant or intermittent
  • The diarrhea is aggravated by fatigue, overexertion and certain foods
  • The bowels move soon after eating
  • There may be alternating diarrhea and constipation
  • Abdominal distention
  • Dull abdominal pain, which is better with warmth
  • Anorexia
  • Easily satiated
  • Ad decreased sense of taste
  • Nausea
  • Weakness
  • Fatigue which may increase after eating
  • Weak, tired limbs
  • A pale, sallow complexion
  • Pale lips
  • Puffiness around the eyes
  • Puffiness in the fingers
  • Weight loss
  • T: Pale with toothmarks
  • C: White
  • P: Weak, thready, deficient and moderate
Treatment Principle
  • Strengthen the Spleen
  • Supplement Qi
  • Dry Dampness
  • Stop diarrhea
Herb Formulas
  • Shen Ling Bai Zhu San
  • Qi Wei Bai Zhu San  modified
  • Chinese Patent Medicines:
    Shen Ling Bai Zhu Wan
    Huo Xiang Zheng Qi Pian
    With Phlegm-Damp: Xiang Sha Liu Jun Zi Wan
    With Food Stagnation: Jian Pi Wan
    With Yang Deficiency: Fu Zi Li Zhong Wan
    For difficult or recalcitrant cases: Xing Jun San
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
  • Nausea and vomiting
  • Emaciation
  • Sallow complexion
  • Anorexia with a full feeling after very little food
  • Weak abdomen
  • Belching
  • Abdominal distention or pain (subtle)
  • Rolled lips
  • Pale lips
  • Stiff tongue
  • Tired limbs
  • Heavy limbs
  • Chest fullness
  • Acid regurgitation
  • Epigastric distention or pain
  • Muscle weakness in arms and legs
  • Loose stools or diarrhea
  • Maybe bleeding
  • Thin muscles.
  • Lethargy-fatigue
  • Does not like to speak
  • Weak, soft voice
  • Maybe enuresis
  • Maybe abundant clear urine
  • Maybe cold extremities
  • Maybe borborygmus
  • T: Pale and flabby - may have teeth marks
  • C: Thin and white.
  • P: Weak and Deficient
Treatment Principle
  • Tonify Qi
  • Strengthen the Spleen
  • Harmonize the Stomach
  • Regulate Qi
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Intermittent abdominal and gastric fullness and distention after eating
  • Vomiting of partially undigested food about 12 hours after eating which relieves the discomfort
  • The vomitus is relatively inoffensivewith clearly identifiable food and possibly watery mucus-like material
  • Waxy, pale complexion
  • Anorexia
  • Weight loss
  • Emaciation
  • Loose stools or
  • Diarrhea
  • Fatigue
  • Weakness
  • Listlessness
  • Increased desire to sleep
  • Cold abdomen
  • Cold extremities
  • Intolerance of Cold
  • T: Pale and swollen
  • C: White
  • P: Thready, deep and weak
Treatment Principle
  • Warm and strengthen the Spleen and Stomach
  • Harmonize the Stomach
  • Descend Qi
Herb Formulas
  • Ding Kou Li Zhong Wan modified
  • With Qi Stagnation: Ding Xiang Tou Ge San
  • With Kidney Yang Deficiency: Fu Zi Li Zhong Wan  modified
  • For severe, resistant or unresponsive cases with Phlegm Accumulation: Xuan Fu Dai Zhe Tang
  • Chinese Patent Medicines:
    For Spleen Yang Deficiency with Cold: Fu Zi Li Zhong Wan
    For Spleen Yang Deficiency: Li Zhong Wan
    For Spleen Qi Deficiency: Xiang Sha Liu Jun Zi Wan
    For Kidney Yang Deficiency: Jin Gui Shen Qi Wan combined with one of the above 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
  • “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
  • General signs and symptoms:
    Epigastrium Cold with pain
  • Mild cases:
    Constant pain
  • Severe cases:
    Sudden bouts of sharp pain
    Pain is aggravated by Cold and relieved by warmth and hot drinks
    Cold hands and feet
  • Cold Penetrates the Stomach and Intestines:
    Pain is sudden and sharp
    Pain is relieved by warmth
    Nausea
    Diarrhea
    Loose stools
    T: Pink
    C: White
    P: Deep and tight
  • Retention of Fluid in the Stomach due to Cold:
    Pain is dull
    Pain is relieved by warmth
    Succussion sound in the epigastrium on palpation
    Vomiting of clear, watery fluid
    T: Pink
    C: White and sticky
    P: Thready or Thready and slow
  • Stomach Deficiency with Stagnation of Cold:
    Pain is dull
    Pain is relieved by warmth and pressure
    Vomiting clear, watery fluid
    T: Pale
    C: Thin and white
    P: Deep and slow or Deep and thready
Treatment Principle
  • Warm the Stomach
  • Warm Cold
Herb Formulas
Points
Clinical Manifestations
  • Acute or chronic diarrhea with a foul smell and possibly undigested food
  • Epigastric fullness, distention and pain with dislike of pressure
  • Borborygmus
  • Belching with rotten food smell
  • Acid regurgitation
  • Foul flatulence
  • Detests food or
  • Vomits after eating
  • Distention is reduced after vomiting
  • Unformed stools or
  • Knotted constipation
  • Symptoms reduced after diarrhea
  • T: Pink
  • C: Thick and greasy
  • P: Slippery
Treatment Principle
  • Clear Food
  • Conduct Stagnation
  • Harmonize the Stomach
  • Clear Damp-Heat
  • Transform Phlegm or Phlegm-Heat
  • Warm the Stomach
  • Strengthen the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Epigastric fullness and distention
  • No desire for food and drink
  • Frequent belching
  • Borborygmus
  • Loss of sensation of taste
  • Stools not solid
  • Urine clear and abundant
  • T: Pale
  • C: Thin and white
  • P: Weak and Deficient
Treatment Principle
  • Strengthen Qi
  • Invigorate the Spleen and Stomach
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
  • Harmonizes the Spleen and Stomach
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Shortness of breath
  • Excessive perspiration (daytime)
  • Above symptoms worse after exertion or when tired
  • Cold limbs
  • Fatigue
  • Weakness
  • Maybe chills
  • Maybe diarrhea
  • 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
  • Dysuria
  • Shortness of breath
  • Dyspnea
  • Dizziness
  • Muscular twitching
  • Whole body edema
  • Cold body
  • Icy limbs
  • Cold abdomen with watery stools
  • Edema of limbs
  • Cough
  • Pale complexion
  • Lips and nails cyanosed
  • Soreness and aching of the shoulders and back
  • Abdominal pain
  • Diarrhea
  • T: Pale or Purple (Lavender)
  • C: White and greasy
  • P: Deep or Deep and minute
Treatment Principle
  • Support Yang
  • Expel Cold
  • Promote diuresis
Herb Formulas
Points
Clinical Manifestations
  • Vague lower abdominal pain
  • Feelings of cold and heaviness
  • Fond of warmth and pressure
  • Abdominal fullness intermittently
  • Borborygmus
  • Unformed, loose stools or
  • Chronic, incessant diarrhea
  • Urinary frequency
  • T: Pale
  • C: Thin and white
  • P: Deep and even
Treatment Principle
  • Warm and Clear the Small Intestine
Herb Formulas
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
  • Tong Xie Yao Fang
  • Si Ni San
  • With Spleen Qi Deficiency: Si Jun Zi Tangmodified
  • Chinese Patent Medicines:
    Chai Hu Shu Gan Wan
    Xiao Yao Wan
    Mu Xiang Shen Qi Wan
    Shu Gan Wan
    Jian Wei Xiao Yao Wan
    Xiang Sha Yang Wei Wan
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
  • 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
  • With Water Flooding the Lungs:
    Cough with copious, thin watery phlegm
    Asthma with phlegmy sound (wheezing)
    Dyspnea
    Facial edema
    Edema of limbs
    Dysuria
    T: Pale and swollen
    C: White and moist or White and greasy
    P: Superficial and tight
Treatment Principle
  • Warm Kidneys
  • Promote diuresis
Herb Formulas
Points
Clinical Manifestations
  • Low back and knees aching and weak
  • Hearing deficit
  • Jing Gate Not Consolidated:
    Spermatorrhea
    Premature ejaculation
    Vaginal discharge
    Infertility
  • Urinary disorder:
    Frequent, clear, abundant urination
    Dribbling after urination
    Incontinence of urine
  • T: Pale and swollen with teethmarks
  • C: Thin white
  • P: Deep and thready
Treatment Principle
  • Consolidate the Kidneys
  • Conserve Qi
Herb Formulas
Points
Clinical Manifestations
  • Emaciation
  • Weakness
  • Spermatorrhea
  • Blurred vision
  • Aching and weak low back and knees
  • Daybreak diarrhea
  • Weight loss
  • Dizziness
  • Nocturnal emissions
  • T: Pink or Pale
  • C: White or None
  • P: Thready and frail or Deep, slow and weak
Treatment Principle
  • Nourish and replenish Yin
  • Tonify Jing
  • Augment Qi
  • Tonify and strengthen Yang
  • Nourish the Blood
Herb Formulas
Points
Clinical Manifestations
  • Chronic diarrhea with a feeling of incomplete evacuation or tenesmus
  • Purple or black stools which are sticky or tarry
  • Fixed or localized sharp or stabbing abdominal pain (usually in the lower left quadrant) which is worse with pressure
  • A dark complexion
  • Dark rings around the eyes
  • Purple nails
  • Spider naevi or vesicular abnormalities over the abdomen, face and legs (inner knee and ankle)
  • T: Purple or Brown or Purple stasis spots, maybe dark, distended sublingual veins
  • C: White
  • P: Wiry or Choppy or Thready
Treatment Principle
  • Transform and eliminate Blood Stagnation from the Intestines
Herb Formulas
  • Shao Fu Zhu Yu Tang
  • Chinese Patent Medicines:
    Xue Fu Zhu Yu Wan
    Fu Ke Wu Jin Wan

    With bleeding: add Sheng Tian Qi Pian to either of the above formulas
Points
  • Ahshi points over the abdomen, Ahshi points along the Stomach channel between ST-36 to ST-39, LI-4, LIV-3, REN-6, SP-6, SP-8, SP-10, ST-25, UB-17, UB-25
    With Bleeding: + Ahshi points over the Ba Liao on the sacrum
    With Cold: + Moxa
  • Ear: Large Intestine, Distal Segment Rectum, Abdomen, Sanjiao, Shenmen, Adrenal
Clinical Manifestations
  • Chronic diarrhea with a feeling of incomplete evacuation or tenesmus
  • Purple or black stools which are sticky or tarry
  • bloody or pussy diarrhea
  • Heat
  • Fever
  • Fixed or localized sharp or stabbing abdominal pain (usually in the lower left quadrant) which is worse with pressure
  • Abdominal pain with rigidity
  • Burning around the anus
  • A dark complexion
  • Dark rings around the eyes
  • Purple nails
  • Spider naevi or vesicular abnormalities over the abdomen, face and legs (inner knee and ankle)
  • T: Purple or Brown or Purple stasis spots, maybe dark, distended sublingual veins
  • C: Greasy and yellow
  • P: Wiry or Choppy or Thready
Treatment Principle
  • Transform and eliminate Blood Stagnation from the Intestines
  • Clear Heat
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
  • Tidal fever
  • Sweating
  • Thirst
  • Stifling sensation in the chest
  • Nausea
  • Severe diarrhea
  • Scanty urine
  • T: Red tip and edges
  • C: Greasy and white or yellow
  • P: Rapid and soft
Treatment Principle
  • Clear Heat
  • Resolve Dampness
Herb Formulas
Points
Clinical Manifestations
  • High fever
  • Irritability
  • Fidgeting
  • Dry mouth
  • Dry throat
  • Incoherent speech
  • Insomnia
  • Dark urine
  • Deep-rooted boils
  • Maculae
  • Carbuncles
  • Hematemesis
  • Hemoptysis
  • Palpitations
  • Furuncles
  • Tinnitus
  • Purpura
  • Red face
  • Rashes
  • Deep-rooted boils
  • Red eyes
  • Itchy skin
  • Fidgeting
  • Dry lips
  • Delirium
  • Dysentery with fever
  • Jaundice
  • Epistaxis
  • Hematuria
  • Cloudy mind
  • Diarrhea
  • T: Red
  • C: Yellow
  • P: Rapid and forceful
Treatment Principle
  • Clear Heat
  • Drain Fire
  • Relieve toxicity from all three Jiaos
  • Relieve inflammation
  • Stop bleeding
  • Purge Damp-Heat
Herb Formulas
Points
Clinical Manifestations
  • Aversion to Cold
  • Heavy pressure headache
  • Anorexia
  • Mental dullness
  • Cough with white Phlegm
  • Severe chills
  • Slight fever
  • Maybe no fever or
  • Afternoon fever
  • Heavy head and extremities
  • Anhidrosis
  • Chest distention
  • A sluggish feeling
  • A sticky mouth
  • Diarrhea or
  • Loose stools
  • Borborygmus
  • Sticky saliva
  • No thirst
  • Epigastric distention
  • T: Pale
  • C: White or Greasy and white
  • P: Soft or Floating and slow
Treatment Principle
  • Dry Damp
  • Warm the body
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
  • Loose stools
  • Maybe skin vesicles
  • Heavy extremities
  • T: Pink
  • C: Greasy and yellow
  • P: Soft and rapid
Treatment Principle
  • Clear Heat
  • Resolve Damp and turbidity
Herb Formulas
Points
Clinical Manifestations
  • Dysentery with dark blood and pus in the stool
  • Abdominal pain which is better with warmth and pressure
  • Dysuria
  • T: Pale
  • C: Normal
  • P: Slow and frail or Faint and thin
Treatment Principle
  • Warm the Middle
  • Dispel Cold
  • Astringe the Intestines
  • Stop dysenteric disorders
Herb Formulas
Points
Clinical Manifestations
  • No desire to eat or drink
  • Diarrhea
  • Abdominal pain
  • Nausea
  • Vomiting
  • Belching with a rotten or sour smell
  • T: Pale and thick
  • C: Greasy or Turbid
  • P: Weak and soggy
Treatment Principle
  • Augment the Spleen
  • Transform Dampness
  • Harmonize the Stomach
  • Dispel Food Stagnation
  • Relieve diarrhea and vomiting
Herb Formulas
Points
Clinical Manifestations
  • Cold pain in the lower back and body
  • Sciatica
  • Copious urination
  • Extreme heavy sensation in the lower back
  • Absence of thirst
  • T: Pale
  • C: White
  • P: Deep, thready and moderate
Treatment Principle
  • Warm Yang
  • Strengthen the Spleen
  • Dispel Cold
  • Eliminate Dampness
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
  • Raise Yang to stop diarrhea
Herb Formulas
Points
Clinical Manifestations
  • Continuous menstrual bleeding
  • The flow is either gushing or spotting
  • The Blood is purplish red or purplish black in color
  • Bleeding with or without clots
  • Abdominal pain which is worse with pressure
  • The pain is relieved by passing clots
  • Dizziness
  • Low back pain
  • Leukorrhea
  • Night sweats
  • Chronic diarrhea
  • T: Dark purplish
  • C: Normal
  • P: Deep, fine and wiry
Treatment Principle
  • Stop bleeding
  • Stop vaginal discharge
  • Dissolve Blood Stasis
Herb Formulas
Points
Clinical Manifestations
  • Vomiting
  • Abdominal distention and fullness
  • Fever and chills
  • Diarrhea with mucus
  • Headache
  • Melaena
  • T: Pink
  • C: Thick, white and greasy
  • P: Soft or Floating tight and soft or Weak
Treatment Principle
  • Activate Qi
  • Dry Dampness
  • Transform turbidity
  • Descend Qi
  • Harmonize the Stomach
  • Stop vomiting and diarrhea
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
  • Green, watery foul-smelling, diarrhea-like fluids are forced around an impacted stool in the descending or sigmoid colon
  • It occurs mostly in the elderly or bedridden
  • A mass can be palpated in the left iliac fossa
Treatment Principle
  • Clear Heat
  • Promote defecation
  • Tonify Qi and Blood
Herb Formulas
Points