FIBROMALGIA

Clinical Manifestations
  • Central nervous system :
    Fatigue
    Irritability
    Nervousness
    Depression
    Apathy
    Anxiety
    Insomnia
    Suicidal thoughts
    Frequent awakening
    Impaired memory
  • Musculoskeletal:
    Severe muscle pain
    Shoulder joint pain
    Neck pain
    Upper back pain
    Lower back pain
    Knee pain
    Elbow pain
    Wrist pain
    Hip joint pain
    Chest pain
    TMJ pain
  • Gastrointestinal:
    Nausea
    Indigestion
    Gas
    Bloating
    Cramping
    Constipation
    Diarrhea
    Mucus in the stools
    Irritable bowels
  • Genitourinary:
    Painful urination
    Frequent urination
    Bladder spasm
    Dysuria
    Vulvar pain syndrome
    Vaginal spasm
    Vulvitis
    Vestibulitis
    Dyspareunia
    Yeast infection
  • Dermatological:
    Skin rash
    Itching
    Increased skin sensitivity
    Prickling sensations or Heat in the palms and soles of the feet
  • Miscellaneous symptoms:
    Headache
    Dizziness
    Vertigo
    Imbalance
    Blurred vision
    Dry eyes
    Itchy eyes
    Numbness and tingling of the hands and feet or face
    Epistaxis
    Post nasal drip
    Abnormal taste in the mouth
    Tongue irritation
    Leg or foot cramp
    Weight gain
    Brittle nails
    Hair loss
    Low grade fever
    Sensitivity to sound, lights, odors or chemicals
    Swelling of eyelids and hands in the morning
    Hypoglycemia symptoms e.g.
      Sugar cravings
      Salt cravings
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Chills and fever (more chills than fever)
  • Anhidrosis
  • Headache
  • Stiff neck
  • Generalized ache and pains
  • Slight thirst
  • A bitter taste in the mouth
  • T: Normal
  • C: White
  • P: Floating
Treatment Principle
  • Induce sweating
  • Expel Wind-Cold
  • Dispel Dampness
  • Drain Interior Heat
Herb Formulas
Points
Clinical Manifestations
  • Migrating pain in the joints especially the :
    Shoulders
    Elbows
    Wrists
    Fingers
    Upper back and neck
  • Pain quality changes
  • May move from soreness to numbness to aching
  • Sensitivity varies
  • Pain often appears abruptly, acutely or paroxysmal and then disappears
  • Limited range of motion
  • Chills and fever
  • Aversion to Wind
  • Sore throat
  • General body aches
  • Maybe perspiration
  • T: Pink
  • C: Thin and white
  • P: Superficial and moderate
Treatment Principle
  • Relieve Wind
  • Dredge the channels
  • Relieve Cold
  • Resolve Dampness
Herb Formulas
Points
Clinical Manifestations
  • Generalized body aches and pains
  • Irritability
  • Heavy sensation in the shoulder and back
  • Discomfort or a constricted sensation in the area of the chest and diaphragm
  • Multiple sores, carbuncles furuncles or abscesses
  • Redness
  • Itching
  • Persistent swelling
  • Chest pain
  • Fever
  • Thirst
  • Aching and painful extremities
  • Aching and painful joints
  • Unbearable swelling and pain of the lower extremities
  • Shoulder stiffness
  • T: Normal
  • C: Greasy and slightly yellow
  • P: Wiry and rapid or Soft and moderate or Soft, superficial and slow or Slippery and rapid or Deep and tight
Treatment Principle
  • Resolve Dampness
  • Clear Heat
  • Disperse Wind
  • Stop pain
  • Activate the Blood
  • Tonify Qi and Blood
Herb Formulas
Points
Clinical Manifestations
  • Long standing cold hands and feet that are cold to the touch and feel cold to the patient
  • Maybe lumbago and leg pain
  • Abdominal pain and distention
  • Midline pain
  • Uterine pain
  • Chills
  • Diarrhea
  • Menstrual abdominal pain
  • Maybe chest pain
  • Increased sweating, particularly of the feet
  • Increased salivation
  • Spasm and pain of the limbs
  • Scanty urination
  • Pain at the waist, hips, legs and feet
  • Sciatica
  • Joint pain
  • Irregular menstruation
  • Abdominal Cold
  • Migraine headache
  • Vaginal discharge
  • T: Pale
  • C: White
  • P: Deep and thready (may be almost imperceptible).
Treatment Principle
  • Warm the channels
  • Disperse Cold
  • Nourish the Blood
  • Unblock the Blood vessels
Herb Formulas
Points
Clinical Manifestations
  • Weak constitution
  • Muscular atrophy
  • Joint deformity
  • Joint swelling
  • Insomnia
  • Depression
  • Anxiety
  • Nervousness
  • Dry eyes
  • Blurred vision
  • Constipation
  • T: Red or pale and puffy with teethmarks
  • C: Scanty and dry or Thin white
  • P: Slightly weak or Deep, thin and rapid
Treatment Principle
  • Tonify the Spleen
  • Nourish Kidney Yin
Herb Formulas
Points
Clinical Manifestations
  • Muscular atrophy
  • Deformity and pain of the joints
  • No strength in the extremities
  • Cold hands and feet
  • Abnormal tiredness
  • Lack of strength to speak
  • Dullness of the eyes
  • Heaviness and numbness of the body
  • T: Pale and puffy with tooth-marks
  • C: Thin white or Slippery
  • P: Deep thin and weak - both third positions weak
Treatment Principle
  • Tonify the Spleen
  • Tonify Qi
  • Warm and tonify Kidney Yang
Herb Formulas
Points
  • SI-3, Wanshun #2 (Master Tung's point), SP-9, Linggu (on the dorsum at the joint of the 1st and 2nd metacarpals), Dabai (on the dorsum in the shallow area between the 1st and 2nd metacarpals), Shenguan, (1.5 cun below SP- 9), (Master Tung's points)
Clinical Manifestations
  • Fatigue
  • Lack of strength
  • Disinclination to speak
  • Spontaneous perspiration
  • Daybreak diarrhea
  • Loose stools
  • Low back soreness
  • Knee soreness and limpness
  • Decreased sexual desire
  • Frequent urination
  • Nocturia
  • Cold extremities - especially feet
  • Chest, flank and breast distention, fullness and pain
  • Abdominal distention, fullness and pain
  • Menstrual irregularities, especially a shortened luteal phase
  • Dysmenorrhea
  • Irritability
  • Depression
  • T: Pale, thick and swollen
  • C: Thin and white or Slimy
  • P: Wiry, fine, possibly deep and forceless
Treatment Principle
  • Fortify the Spleen
  • Boost the Qi
  • Supplement the Kidneys
  • Invigorate the Yang
  • Course the Liver
  • Rectify Qi
Herb Formulas
Points
  • SP-6, ST-36, REN-4, LIV-3, SP-21
    With severe fatigue: SP-3
    With daybreak diarrhea: DU-4
    With decreased sexual desire: DU-4, UB-52
    With chest, abdominal, breast, and flank oppression, distention, fullness and pain: PC-6, SJ-5
    With menstrual irregularities, dysmenorrhea, and PMS: PC-5, ST-29
    With spontaneous perspiration: LI-4, KI-7
    With low back and soreness and limpness: SP-4, KI-7
    With cold hands: LI-4
    With cold legs and feet: UB-57
    With concomitant Blood Deficiency: UB-17, UB-18
    With more serious Yang Deficiency: moxa UB-23
Clinical Manifestations
  • Fatigue
  • Lack of strength
  • Disinclination to speak
  • Spontaneous perspiration
  • Night sweats
  • Loose stools
  • Constipation
  • Low back and knee pain and limpness
  • Decreased sexual desire
  • Frequent urination
  • Nocturia
  • Cold hands and feet alternating with five sole Heat
  • Tidal fever
  • Pale face
  • Malar flush
  • Chest, flank and breast distention, fullness and pain
  • Abdominal distention, fullness and pain
  • Menstrual irregularities, especially a shortened luteal phase
  • Dysmenorrhea
  • Irritability
  • Depression
  • T: Tender, swollen and red with teethmarks
  • C: Scanty and yellow
  • P: Wiry, fine and rapid or Deep and forceless
Treatment Principle
  • Fortify the Spleen
  • Boost the Qi
  • Supplement the Kidneys
  • Invigorate the Yang
  • Enrich Yin
  • Clear Heat
  • Course the Liver
  • Rectify Qi
Herb Formulas
Points
  • SP-6, ST-36, REN-4, LIV-3, SP-21
    With severe fatigue: SP-3
    With daybreak diarrhea: DU-4
    With decreased sexual desire: DU-4, UB-52
    With chest, abdominal, breast, and flank oppression, distention, fullness and pain: PC-6, SJ-5
    With menstrual irregularities, dysmenorrhea, and PMS: PC-5, ST-29
    With spontaneous perspiration: LI-4, KI-7
    With low back and soreness and limpness: SP-4, KI-7
    With cold hands: LI-4
    With cold legs and feet: UB-57
    With concomitant Blood Deficiency: UB-17, UB-18
    With more serious Yang Deficiency: moxa UB-23
    With five sole Heat, tidal fever, and malar flush: HT-6, DU-14
    With irritability and depression: PC-6
Clinical Manifestations
  • Irritability
  • Depression
  • Constipation with ribbon-like or small round stools
  • Constipation alternating with diarrhea
  • Belching
  • Chest, flank and abdominal distention or pain
  • Pre-menstrual breast distention and pain
  • Painful menstruation
  • Fatigue
  • Loss of strength in the extremities
  • Anorexia
  • Stomach and epigastric
  • Distention and fullness after meals
  • Superficial edema
  • Cold hands and feet
  • Easy bruising
  • Profuse menstruation
  • Abnormal uterine bleeding
  • Dizziness on standing
  • Pale face
  • T: Thick and dark
  • C: Thin, white
  • P: Wiry and fine maybe soft at right bar
Treatment Principle
  • Tonify the Spleen
  • Course the Liver
  • Rectify Qi
  • Tonify Qi
Herb Formulas
Points
  • PC-6, SJ-5, LIV-3, ST-36, SP-21
    With fatigue, lack of strength or Wei Qi Deficiency: SP-3, LI-4
    With excess Dampness in the Middle Jiao or edema of the extremities: SP-9
    With Phlegm-Dampness: ST-40
    With Blood Deficiency with malnourishment of the sinews: SP-6
    With Blood Heat: Eliminate LIV-3, add SP-10, LIV-2
    With Heat in the Liver and Gall Bladder, Lungs, Stomach and Intestines: GB-34, LI-4
    With Heat in the Liver and Gall Bladder, Heart, Stomach and Intestines: GB-34, HT-5, LI-4
    With Heat damaging Stomach and Lung Fluids: KI-7
    With Blood Stasis: LI-4, SP-6
    With painful diarrhea: ST-25
    With pain & weakness in the lower limbs: LI-11
    For pain on palpation near GB-20: GB-20, or Ahshi
Clinical Manifestations
  • Facial complexion pale and sallow
  • Both cheeks slightly red
  • Dizziness
  • Dry eyes
  • Blurred vision
  • Spots before the eyes
  • Numbness of limbs
  • Flaccid paralysis (Wei syndrome), weakness
  • Tinnitus
  • Deafness
  • Forgetfulness
  • Low back and knees sore and painful
  • Throat dry and painful
  • Five sole Heat
  • Low-grade fever
  • Night sweats
  • Irritability
  • Insomnia
  • Stools difficult to pass
  • Constipation
  • Men:
    Spermatorrhea
  • Women:
    Irregular menses or
    Scanty menses or
    Amenorrhea
    Vaginal discharge
  • T: Red
  • C: None
  • P: Thready and rapid
Treatment Principle
  • Nourish and Reinforce the Liver and Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Shortness of breath
  • Wheezing
  • Fatigue
  • Myalgia of the back
  • Aversion to Cold
  • Low grade fever
  • Muscle pain of the UB channel
  • T: Pale
  • C: Thin white or Thin and slippery
  • P: Thready and weak or Deep and weak
Treatment Principle
  • Augment Qi
  • Open the channels
  • Tonify the Middle
Herb Formulas
Points
  • Tonify: Linggu (on the dorsum at the joint of the 1st and 2nd metacarpals), Dabai (on the dorsum in the shallow area between the 1st and 2nd metacarpals), (Master Tung's points), join SJ-2 to SJ-3, SP-6, SP-9, Shenguan (1.5 cun below SP- 9), (Master Tung's point) ST-36, GB-34, KI-3, KI-7, REN-4, REN-6, Sedate: UB-57, Zhengshi (2.5 cun below UB-57) (Master Tung's point), Moxa REN-8
Clinical Manifestations
  • Fatigue
  • Lack of strength
  • Disinclination to speak
  • Low back pain
  • Knee soreness
  • Nocturnal urination
  • Frequent, scanty, dark urination
  • Loose stools
  • Dizziness
  • Tinnitus
  • Matitudinal insomnia
  • Night sweats
  • Tidal fever
  • Pale face
  • Malar flush
  • Cold hands and feet alternating with five sole heat
  • T: Thick, pale with red edges
  • C: Scanty, dry and/or yellowish
  • P: Thin, rapid and surging or Floating, surging and rapid
Treatment Principle
  • Tonify Qi
  • Nourish Yin
  • Calm Liver Fire
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Blurred vision
  • Dry skin
  • Insomnia
  • Anxiety
  • Fear
  • Palpitations
  • Bi-lateral muscle pain
  • Lack of energy
  • Constipation
  • Dullness of lips and nails
  • T: Pale and slightly puffy
  • C: Thin and white
  • P: Thready, deep and weak
    If severe: Deep, minute and hollow
Treatment Principle
  • Nourish Blood and Yin
  • Open the channels
Herb Formulas
Points
  • LI-11, Linggu (on the dorsum at the joint of the 1st and 2nd metacarpals), Dabai (on the dorsum in the shallow area between the 1st and 2nd metacarpals), (Master Tung's points), SI-3, Wanshun #2 (on the lateral side of the 5th metacarpal, 1.5 cun distal to the wrist joint) (Master Tung's point), SP-4, SP-6, SP-9, SP-10, GB-34, GB-39, Shenguan (1.5 cun below SP-9) (Master Tung's point), ST-36, KI-3, KI-7, UB-65, HT-7
Clinical Manifestations
  • Whole body muscle and joint pain
  • Pain is sometimes dull and sometimes severe
  • Shortness of breath
  • Lack of energy
  • Lethargy
  • Inability to stand or walk for a long period of time due to joint pain
  • Insomnia
  • T: Pale with purple spots or Pale purple
  • C: Thin, white and slippery or White, moist and slippery
  • P: Deep and uneven or Wiry and slippery
Treatment Principle
  • Circulate Qi
  • Open the channels
  • Disperse Stagnation
  • Move Blood
Herb Formulas
Points
  • Linggu (on the dorsum at the joint of the 1st and 2nd metacarpals), Dabai (on the dorsum in the shallow area between the 1st and 2nd metacarpals), (Master Tung's points), join SJ-2 to SJ-3, SI-3, Wanshun #2 (on the lateral side of the 5th metacarpal, 1.5 cun distal to the wrist joint) (Master Tung's point), SP-6, SP-9, SP-10, ST-36, Shenguan (1.5 cun below SP-9) (Master Tung's point), GB-34, GB-39, REN-4, REN-6, Moxa REN-8
Clinical Manifestations
  • Chest pain
  • Shoulder stiffness
  • Abdominal distention and pain
  • Constipation
  • Cold feet
  • An aversion to Cold
  • Pale face
  • Fatigue
  • Headaches with heavy headedness
  • Abdominal weakness
  • Anorexia
  • T: Pale
  • C: Greasy, white
  • P: Weak or Weak and wiry
Treatment Principle
  • Tonify Qi
  • Break up Stagnant Qi
  • Reduce accumulation
  • Descend Qi
  • Warm the Middle Jiao
  • Disperse Cold
  • Transform Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Stiffness of the muscles around the joints
  • Better with warmth
  • Worse with cold
  • Fatigue
  • Melancholy
  • Indigestion
  • Bloating
  • Frequent waking at night
  • T: Pale and puffy
  • C: White, slippery and moist or Thin and greasy
  • P: Right middle is deep, slippery and wiry
Treatment Principle
  • Disperse cold
  • Circulate the channels
Herb Formulas
Points
  • Tonify: SI-3, Wanshun #2 (on the lateral side of the 5th metacarpal, 1.5 cun distal to the wrist joint) (Master Tung's point), Linggu (on the dorsum at the joint of the 1st and 2nd metacarpals), Dabai (on the dorsum in the shallow area between the 1st and 2nd metacarpals), (Master Tung's points), Shenguan (1.5 cun below SP-9) (Master Tung's point), ST-36, SP-6, SP-7, SP-9, KI-3, KI-7, REN-4, REN-6, Moxa REN-8
Clinical Manifestations
  • Numbness of the muscles
  • Swelling and pain of the joints
  • Tendino-muscular spasm
  • Limited mobility
  • Loose stools
  • Edema of the lower limbs
  • Diarrhea
  • Bloating
  • Lack of appetite
  • Lethargy
  • T: Pale white or red, swollen with teethmarks
  • C: White and greasy or White and rotten
  • P: Slippery or Deep and slippery
Treatment Principle
  • Drain Dampness
  • Open channels
  • Circulate Qi
  • Move Blood
Herb Formulas
Points
  • Tonify: SI-3, Wanshun #2 (on the lateral side of the 5th metacarpal, 1.5 cun distal to the wrist joint) (Master Tung's point), Linggu (on the dorsum at the joint of the 1st and 2nd metacarpals), Dabai (on the dorsum in the shallow area between the 1st and 2nd metacarpals), (Master Tung's points), Shenguan (1.5 cun below SP-9) (Master Tung's point), ST-36, ST-38, SP-4, SP-6, SP-9, KI-3, KI-7, GB-34, REN-4, REN-6, Moxa REN-8
Clinical Manifestations
  • Numbness, pain and stiffness of the muscles
  • Difficult to stretch out limbs
  • Swelling of the joints
  • Cough with phlegm
  • Dizziness
  • Vertigo
  • Post nasal drip
  • Weight gain
  • T: Pale, thin white or red, puffy
  • C: White, slippery and greasy or White, thick and greasy
  • P: Slippery or Slippery and wiry 1```````````````````````
Treatment Principle
  • Dissolve Phlegm
  • Open the channels
Herb Formulas
Points
  • Tonify: SI-3, Wanshun #2 (on the lateral side of the 5th metacarpal, 1.5 cun distal to the wrist joint) (Master Tung's point), Linggu (on the dorsum at the joint of the 1st and 2nd metacarpals), Dabai (on the dorsum in the shallow area between the 1st and 2nd metacarpals), (Master Tung's points), ST-36, ST-44, Shenguan (1.5 cun below SP-9) (Master Tung's point), SP-4, SP-6, SP-9, KI-3, KI-7, LIV-3, REN-4, REN-6, Sedate: ST-40
Clinical Manifestations
  • Loose stools
  • Diarrhea
  • Light-yellow, mustard color stools
  • Burning or acid feeling around the anus during or after defecation
  • Foul smelling stools
  • Hot, Possibly red, swollen, painful limbs
  • Red, hot swollen, wet or weeping skin lesions
  • Hot, frequent, burning and/or painful urination
  • Red, hot, swollen, wet or weeping external genitalia
  • Thick, white curdy or creamy yellow vaginal discharge
  • Yellow-green nasal mucus
  • T: Normal
  • C: Slimy, yellow
  • P: Slippery and rapid
Treatment Principle
  • Clear Heat
  • Eliminate Dampness
Herb Formulas
Points
Clinical Manifestations
  • Cold pain in the lower back and body
  • The lower back region feels Cold to the touch
  • The pain is a deep, unremitting ache
  • The pain may be occasionally be severe
  • Twisting and bending are difficult
  • The pain is aggravated by cold weather
  • Lying down provides no improvement
  • Sciatica
  • Copious urination
  • Extreme heavy sensation in the lower back
  • Absence of thirst
  • T: Pale
  • C: White or Greasy and white at the root
  • P: Deep, thready and moderate or Deep and slow or Moderate
Treatment Principle
  • Warm Yang
  • Strengthen the Spleen
  • Support the Kidneys
  • Dispel Cold
  • Eliminate Dampness
Herb Formulas
  • Lumbago #1
  • Chinese Patent Medicines:
    Du Huo Ji Sheng Wan
    Feng Shi Pian
    Zhui Feng Huo Xue Pian
    Feng Shi Xiao Teng Wan
    For severe Cold: Xiao Huo Luo Dan
    Plaster: Die Da Zhi Tong Gao
Points

 

Clinical Manifestations
  • Anorexia
  • Edema
  • Abdominal distention
  • Chest and hypochondriac distention
  • Dizziness
  • Nausea
  • Vomiting
  • Vertigo
  • Thirst with no desire to drink
  • Maybe no thirst
  • Palpitations
  • Shortness of Breath
  • Lower back pain
  • T: Normal
  • C: Thick and slippery
  • P: Slippery, full and maybe wiry
Treatment Principle
  • Dry Dampness
  • Transform Phlegm
Herb Formulas
Points