GLOMERULONEPHRITIS,NEPHRITIC EDEMA

GENERAL

Clinical Manifestations	Glomerulonephritis (GN), also known as glomerular nephritis, is a term used to refer to several Kidney diseases (usually affecting both kidneys). Many of the diseases are characterized by inflammation either of the glomeruli or of the small blood vessels in the kidneys, hence the name, but not all diseases necessarily have an inflammatory component. As it is not strictly a single disease, its presentation depends on the specific disease entity: it may present with isolated hematuria and/or proteinuria (blood or protein in the urine); or as a nephrotic syndrome, a nephritic syndrome, acute kidney injury, or chronic kidney disease.
Treatment Principle
Herb Formulas
Points	REN-9, SP-9, ST-28, UB-39

TAI YANG SHANG HAN

Clinical Manifestations	Severe chills Mild or no fever Headache Generalized discomfort Stiff neck and shoulders Body aches Joint ache Nausea Vomiting Hiccups Anhidrosis Gasping Stabbing joint pain Itchy throat Cough Asthma Aversion to Wind and Cold Maybe low back pain Maybe frozen shoulder Maybe dyspnea Maybe epistaxis (severe) T: Normal C: Thin and white P: Floating and tight
Treatment Principle	Relieve the Exterior Expel Cold Disperse the Lungs Stop asthma
Herb Formulas	Ma Huang Tang
Points	DU-16, GB-20, LI-4, LU-7, SJ-5, UB-12, UB-13 For a stiff neck: + GB-21, SI-3, Taiyang, UB-62 For diarrhea: Moxa REN-8, REN-12, ST-25, ST-36 For vomiting but no diarrhea: + PC-6, SP-4 For Phlegm-Heat in the Lungs: + LU-5, LU-10, ST-40 To resolve Phlegm and stop cough: REN-22, ST-40

TAI YANG BIAO FU

Clinical Manifestations	Chills and fever Achiness Stiff neck and shoulders Anhidrosis Headache Stabbing joint pain Itchy throat Cough Asthma Aversion to Cold Maybe frozen shoulder * The Tai Yang symptoms remain for 2-3 days Thirst with no desire to drink May have vomiting immediately after drinking Difficult urination May have upper body edema T: Normal C: White P: Floating and slippery
Treatment Principle	Promote urination Dispel Dampness Expel Wind
Herb Formulas	Wu Ling San With indigestion and diarrhea: Si Ling San With jaundice and dysuria: Yin Chen Wu Ling San
Points	Moxa or moxa needle KI-3, LI-4, LU-7, REN-3, SP-6, SP-9, UB-13, UB-28 With indigestion and diarrhea: moxa ST-25, ST-36 With jaundice and dysuria: DU-9

SHAO YIN HEAT

Clinical Manifestations	Cough Asthma Shortness of breath which is worse when lying down Abdominal distention with water retention Edema in the lower extremities Facial edema T: White bubbles C: Thick, greasy and white P: Thready
Treatment Principle	Regulate the Lungs Purge Yin
Herb Formulas	Wu Ling San Xiao Qing Long Tang
Points	LU-7, SP-6, SP-9, UB-13

WIND DAMP

Clinical Manifestations	Aversion to Wind and Cold Facial edema moving to generalized edema Slight fever or fever and chills Thirst Slight but continuous perspiration Sore, heavy limbs Decreased urination Headache Edematous orbits A red, swollen sore throat Weak abdomen Belching Cough Asthma Dyspnea Bulging eyes Severe cough Weak, aching feet Skin problems T: Normal C: White or Thin white P: Floating or Floating and big
Treatment Principle	Promote perspiration Disseminate Lung Qi Clear Heat Move water Suppress asthma
Herb Formulas	Fang Ji Huang Qi Tang Yue Bi Tang With Spleen Qi Deficiency: Yue Bi Jia Zhu Tang
Points

WIND-COLD-DAMP ACCUMULATION

Clinical Manifestations	Urinary difficulty Thirst with a desire to drink Fever worse at night Cough Nausea/vomiting Irritability Insomnia Restlessness Diarrhea Anxiety Edema Lower abdominal distention and pain Maybe hematuria Painful urination with Yin Deficiency Urinary dribbling Decreased urination Dry skin Sunken eyes Dry throat and/or mouth Chronic sore throat (not acute) Restlessness Malar flush Insomnia Disturbed speech Low grade fever, worse in afternoon Yellow urine Irritability with a sensation of Heat in the chest Palpitations with anxiety Sores in the mouth or on the tongue More Heat than in Yin Deficiency (chronic low grade fever) T: Red or Dark red and dry C: None or Thin and yellow P: Deep, thready and rapid or Thready and rapid or forceful and rapid
Treatment Principle	Promote urination Clear Heat Nourish Yin
Herb Formulas	Zhu Ling Tang
Points	DU-14, HT-5, HT-7, KI-3, KI-6, KI-7, LIV-3, SP-6, UB-10, UB-15, UB-23

OBSTRUCTION OF LUNG QI

Clinical Manifestations	Difficult urination Scanty, pale urination Often follows an acute febrile disease Orbital and facial edema, followed by Edema of the limbs or Whole body edema Fever and chills Dry, sore throat Coughing Dyspnea Heaviness in the limbs Aching joints and muscles T: Pink C: Thin and white P: Floating and tight or Floating, slippery and rapid
Treatment Principle	Descend Lung Qi Open the water passages
Herb Formulas	Yue Bi Jia Zhu Tang With Internal Heat affecting the Lungs: Qing Fei Yin Er Hao If neither of the above treatments is successful after a few days, or the patient exhibits marked Qi Deficiency manifestations: Fang Ji Huang Qi Tang modified Chinese Patent Medicines: Ma Xing Zhi Ke Pian Zhi Sou Ding Chuan Wan
Points	LU-7, REN-3, REN-9, SP-6, SP-9, UB-13, UB-24, UB-32 For Wind-Cold: + LI-4 For Wind-Heat: + LU-5, LU-10

LUNG AND KIDNEY YIN DEFICIENCY

Clinical Manifestations	Palpitations Shortness of breath Dizziness Epigastric fullness and contravection Reflux vomiting Sensation of Qi rushing upward to the chest (Running Piglet) Suffocating sensation in chest Weak cough Expectorating watery white Phlegm T: Pale C: White P: Deep and wiry
Treatment Principle	Clear Yang Transform Harmful Fluid
Herb Formulas	Ling Gui Zhu Gan Tang Mai Wei Di Huang Wan
Points	Moxa or moxa needle LU-9, REN-12, REN-17, ST-36, ST-40, UB-13, UB-20, UB-43

LUNG AND KIDNEY QI DEFICIENCY

Clinical Manifestations	Facial edema Swollen limbs A yellow facial complexion Scanty urination Fatigue Lack of strength Catches cold easily Soreness and pain in the upper and lower back T: Pale C: White and moist with teethmarks P: Thready and weak
Treatment Principle	Tonify the Lungs Nourish the Kidneys
Herb Formulas	Yu Ping Fen San modified
Points	LI-4, REN-3, ST-36, UB-23, UB-64 With chills, fever and a cough: + LU-7, UB-13 and temporarily drain LI-4 With fever and a sore, swollen throat: + LI-11, SJ-5 and temporarily drain LI-4 With severe edema: + REN-9, ST-28 With hematuria: + SP-10 With Blood Stasis: +SP-6 With severe Qi Deficiency: + REN-4, SP-3 For catching cold easily: + moxa DU-14 With Lung and Spleen Qi Deficiency without Kidney Deficiency: - UB-23, - UB-64, + SP-3, SP-6

COLD-DAMP DISTRESSES THE SPLEEN

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	Wei Ling Tang
Points	Moxa or moxa needle REN-6, REN-12, SP-6, SP-9, ST-36, UB-20 Cold-Damp Dysentery: Moxa or moxa needle LI-4, REN-6, REN-12, SP-6, ST-25, ST-37 Cold-Damp Diarrhea: Moxa or moxa needle REN-6, REN-12, ST-25, ST-36, ST-37, UB-25 Cold-Damp Vaginal Discharge: Moxa or moxa needle GB-26, REN-4, REN-6, SP-6, ST-36, UB-30 Cold-Damp Jaundice (Yin Jaundice): Moxa or moxa needle DU-9, GB-24, LIV-13, SP-9, ST-36, UB-19, UB-20 , UB-48

SPLEEN QI DEFICIENCY WITH DAMPNESS AND QI STAGNATION

Clinical Manifestations	Edema during pregnancy Generalized edema Sensation of heaviness, distention and fullness in the epigastrium and abdomen Labored, heavy breathing Urinary difficulty Asthma Chest distention General edema in summer Gasping Rapid breathing T: Normal C: White and slippery P: Thready and moderate or slipper
Treatment Principle	Resolve Dampness Reduce edema Regulate Qi Strengthen the Kidneys Reduce swelling
Herb Formulas	Wu Pi Yin Wu Pi San With Turbid Dampness in the Lower Jiao: Wan Dai Tang
Points

SPLEEN DEFICIENCY EDEMA

Clinical Manifestations	Edema in limbs, especially lower limbs Maybe anasarca Maybe abdominal distention Loose stools Physical and mental fatigue T: Pale C: White and moist P: Soft and even
Treatment Principle	Warm Yang Strengthen the Spleen Benefit Qi Move water
Herb Formulas	Shi Pi Yin Shen Ling Bai Zhu San Wu Ling San Si Ling San With Qi Stagnation: Wu Pi Yin
Points	REN-6, REN-9, SP-6, SP-9, ST-28, ST-36, UB-20, UB-22, UB-23

SPLEEN YANG DEFICIENCY

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	Li Zhong Tang Fu Zi Li Zhong Wan Shi Pi Yin With little or no edema Cold or no obvious symptoms: Bu Zhong Yi Qi Tang Chinese Patent Medicines: Fu Zi Li Zhong Wan Bu Zhong Yi Qi Wan
Points	DU-26, KI-7, LI-4, LU-7, REN-3, SP-6, ST-29, UB-22, moxa or moxa needle DU-20, REN-6, REN-9, UB-20, UB-23 Moxa LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20

SPLEEN YANG DEFICIENCY WITH COLD ACCUMULATION IN THE INTESTINES

Clinical Manifestations	Constipation or Chronic red and white dysentery or chronic diarrhea with pus and Blood in the stool Abdominal pain which is relieved by warmth Epigastric rigidity Cold extremities T: Pale C: White P: Deep and wiry
Treatment Principle	Warm the Center Dispel Cold
Herb Formulas	Wen Pi Tang
Points	Moxa LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20

SPLEEN AND KIDNEY YANG DEFICIENCY

Clinical Manifestations	Marked edema of face and limbs which tends to be worse in the lower half of the body Pitting edema Aversion to Cold Body cold Limbs icy Complexion white and shiny or dark Neck soreness Upper back feels cold and painful Low back, knees and abdomen feel cold and painful Lower leg weakness Heel pain Lassitude Anorexia Lower abdomen feels cold and painful Loose stools containing undigested food “Cock-crow” diarrhea (occurs at about 5 am) Clear, scanty urination Decreased sexual functions Menstrual irregularity T: Pale, moist, tender and swollen with teethmarks C: Thin and white or White and greasy
Treatment Principle	Warm and Reinforce the Spleen and Kidneys Dispel water Disperse swelling
Herb Formulas	Zhen Wu Tang If Spleen Yang Deficiency predominates: Shi Pi Yin modified For Spleen Yang Deficiency with Dampness and no Kidney Deficiency: Shen Ling Bai Zhu San modified For Damp-Heat skin sores: Wei Ling Tang modified If Kidney Yang Deficiency predominates: Jin Gui Shen Qi Wan modified For Kidney Yang Deficiency with strangury without edema, with dizziness, low back and knee weakness and pain, aversion to Cold, turbid urine, anorexia, weakness, a sallow or dark facial complexion, a pale tongue and a thready and weak pulse: Liu Wei Di Huang Wan modified
Points	Moxa or moxa needle REN-4, REN-12, SP-6, SP-9, ST-36, UB-20, UB-23 Moxa or moxa needle REN-4, SP-6, SP-9, ST-36 With marked weakness and fatigue: + SP-3 With nausea: + REN-12 With abdominal fullness after eating abdominal edema, borborygmus and flatulence: + PC-6, SP-4 With severe abdominal edema: + PC-6, REN-9, SP-4 With Blood Stagnation: + UB-17 With severe edema in the limbs: + ST-28

HEART FIRE FLARING UP WITH HEAT TRANSMITTING TO THE SMALL INTESTINE

Clinical Manifestations	Ulceration, erosion, and pain of mouth and tongue Thirst with a desire for cold drinks Irritability Irascibility Feeling of Heat and disturbance in the Heart Insomnia Flushed face Bitter taste in the mouth Dark, concentrated urine Stabbing pain on urination Hematuria T: Red tip with ulcers especially on the tip P: Excess and rapid
Treatment Principle	Clear Heat Purge Fire Calm the Shen
Herb Formulas	Dao Chi San
Points	HT-7, HT-8, PC-7, PC-8, UB-15

HEART FIRE WITH QI AND YIN DEFICIENCY AND DAMP-HEAT IN THE LOWER JIAO

Clinical Manifestations	Restlessness Irritability Thirst Nocturnal emission Insomnia Dream disturbed sleep Lack of spirit Fatigue Low back pain Tinnitus Dysuria Depression Turbid urine Abnormal uterine bleeding Polyuria Enuresis Seminal emission Leukorrhea Blood tinged leukorrhea Anorexia Dry mouth Dry Tongue Five Sole Heat Fever Physical and mental overexertion T: Red C: Little or None P: Deep and rapid
Treatment Principle	Clear Heart Fire Disperse Damp-Heat Benefit Qi and Yin Promote urination
Herb Formulas	Qing Xin Lian Zi Yin modified
Points

HEART YANG NOT VIGOROUS: WATER QI INSULTS THE HEART WITH LUNG AND SPLEEN QI DEFICIENCY

Clinical Manifestations	Palpitations Shortness of breath Dizziness Epigastric fullness and contravection Reflux vomiting Sensation of Qi rushing upward to the chest (Running Piglet) Suffocating sensation in chest Weak cough Expectorating watery white Phlegm T: Pale C: White P: Deep and wiry
Treatment Principle	Clear Yang Transform Harmful Fluid
Herb Formulas	Ling Gui Zhu Gan Tang
Points	Moxa or moxa needle LU-9, REN-12, REN-17, ST-36, ST-40, UB-13, UB-20, UB-43

LIVER QI STAGNATION INVADES THE SPLEEN WITH TURBID DAMPNESS IN THE LOWER JIAO

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 T: Normal C: Thick and slippery P: Slippery, full and maybe wiry
Treatment Principle	Warm and Dissolve Tan Yin
Herb Formulas	Ling Gui Zhu Gan Tang Wu Ling San With indigestion, diarrhea and decreased urination: Si Ling San With jaundice and dysuria: Yin Chen Wu Ling San
Points	PC-6, SJ-6, SP-6, SP-9, ST-40, UB-13, UB-20, UB-23

LIVER AND KIDNEY YIN DEFICIENCY

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	Qi Ju Di Huang Wan Yi Guan Jian Da Bu Yin Wan Liu Wei Di Huang Wan Mai Wei Di Huang Wan Liu Wei Di Huang Tang + Jian Ling Tang With Fire Flaring: Zhi Bai Di Huang Wan With Damp-Heat and Blood Stasis: Zi Shen Tang
Points	KI-3, LIV-3, SP-6, UB-18, UB-23

KIDNEY YANG DEFICIENCY

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	Jin Gui Shen Qi Wan (Ba Wei Di Huang Wan) Ji Sheng Shen Qi Wan You Gui Wan Sang Piao Xiao San modified With Wind-Cold: Ma Hua Fu Zi Xi Xin Tang modified For severely deficient Kidney Yang with "Water Toxin" (very scanty urination, or anuria, dizziness, vomiting of clear Fluids, anorexia, restlessness): Fu Zi Li Zhong Wan + Wu Zhu Yu Tang modified Chinese patent medicines: Jin Gui Shen Qi Wan Ren Shen Lu Rong Wan Ge Jie Bu Shen Wan Jin Suo Gu Jing Wan * The last formula is usually taken with one of the first three.
Points	DU-26, KI-7, REN-3, SP-6, moxa or moxa needle DU-4, REN-6, REN-9, UB-23, UB-53 Moxa or moxa needle DU-4, KI-3, REN-4, UB-23 DU-26, KI-3, KI-11, SI-3, SP-6, moxa or moxa needle DU-4, REN-4, UB-23 For chronic diarrhea, rectal prolapse and Vanquished Yang: + moxa DU-20, REN-8 For Kidney Yang Deficiency impotence: moxa or moxa needle DU-4, DU-20, KI-3, REN-4, UB-23 For Kidney Yang Deficiency (Cock Crow) Diarrhea: moxa or moxa needle DU-20, KI-3, REN-4, UB-23

KIDNEY YANG DEFICIENCY WITH WATER FLOODING

Clinical Manifestations	Aversion to Cold Cold extremities Scanty urination Abdominal distention Edema of the legs Cold sensations in the lower body Sensory numbness Low back pain Severe pitting edema Fatigue Urinary difficulties T: Pale and swollen with teethmarks C: White and slippery P: Deep and wiry
Treatment Principle	Warm Yang Tonify the Kidneys Aid water transformation Promote urination Reduce edema
Herb Formulas	Ji Sheng Shen Qi Wan Zhen Wu Tang
Points

KIDNEY YIN DEFICIENCY

Clinical Manifestations	Dizziness Tinnitus or deafness Poor memory Aching, soreness or weakness of low back Spermatorrhea or premature ejaculation Aching in bones Aching in leg and heel T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Reinforce the Kidneys
Herb Formulas	Liu Wei Di Huang Wan For lingering Warm Heat pathogens: Qing Hao Bie Jia Tang
Points	KI-1, KI-3, KI-6, REN-4, SP-6, UB-23

KIDNEY YIN DEFICIENCY WITH FIRE FLARING

Clinical Manifestations	Dizziness Tinnitus or deafness Poor memory Aching, soreness or weakness of the low back Spermatorrhea or Premature ejaculation Aching in the bones Aching in the leg and heel Dry mouth Thirst Night sweats Five Sole Heat Malar flush Low grade fever in the afternoon Dry throat, maybe recurrent sore throat Dry stools and/or Constipation Urine short and red Heightened libido If Heart Fire also Flares: Insomnia Frequent dreams Palpitations If Liver Yang also Rises: Dizziness Blurred vision T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Subdue Fire
Herb Formulas	Zhi Bai Di Huang Wan With severe night sweats and bone steaming fever: Da Bu Yin Wan Chinese Patent Medicines: Liu Wei Di Huang Wan Zhi Bai Di Huang Wan Da Bu Yin Wan
Points	KI-1, KI-2, KI-3, KI-6, KI-9, KI-10, REN-4, SP-6, UB-23 If Heart Fire also Flares: + HT-7, PC-7, UB-15 If Liver Yang also Rises: + LIV-3, UB-18 For cloudy urination: KI-2, KI-6, REN-4, ST-28, UB-23

KIDNEY YIN AND YANG DEFICIENCY

Clinical Manifestations	Amenorrhea Irregular menstruation Hot flashes Dizziness Tinnitus Night sweats Perspiration Nervousness Muscular flaccidity Fatigue Mood swings Cold feet Lassitude Frequent, clear urine Irritability Headache Palpitations Insomnia T: Pale C: Thin and white P: Thready and rapid
Treatment Principle	Replenish Kidney Yin and Yang Purge Deficiency Fire
Herb Formulas	Er Xian Tang
Points

DAMP-HEAT IN THE URINARY BLADDER

Clinical Manifestations	Urinary frequency Urinary urgency The pain may radiate to the umbilicus and is worse with pressure Painful urination or Continuous dripping of urine or Sudden interruption to the urinary stream Turbid urine or Pus and blood in the urine or Sand and stones in the urine Suprapubic fullness and discomfort Nausea Anorexia A bitter taste in the mouth a tendency toward constipation or Alternating loose and sluggish stools In Damp-Heat Pouring Downward there may also be: Fever Thirst with little desire to drink Dry mouth Low back pain In Damp-Heat Crystallizes in Urinary Bladder there may also be: Colicky pain in the low back, possibly radiating to the groin T: Red C: Yellow P: Slippery and rapid
Treatment Principle	Clear Heat Eliminate Dampness by diuresis
Herb Formulas	Ba Zheng San Xiao Ji Yin Zi For Damp-Heat Obstructing the Shao Yang with alternating fever and chills, nausea and dizziness: Chai Ling Tang modified For mild Yin Deficiency: Zhu Ling Tang For those with Blood Deficiency: Wu Lin San modified With severe systemic Heat: Huang Lian Jie Du Tang + Wu Wei Xiao Du Yin For bleeding: Xiao Ji Yin Zi Chinese patent medicines: Te Xiao Pai Shi Wan Long Dan Xie Gan Wan Qian Lie Xian Wan Quan Xin Lian Kang Yan Pian For cloudy, painful urination: Chao Jin Zhi Dai Wan
Points	KI-7, LIV-2, REN-3, SP-6, SP-9, UB-23, UB-28, UB-39 REN-3, LIV-5, HT-8, SP-9, SP-6, UB-28, LIV-2 For alternating chills and fever: SJ-5, GB-39 For hematuria: HT-8, REN-3, SP-6, SP-10, UB-17, UB-28 For retention of urine: 1. REN-3, SP-6, SP-9, UB-28 2. REN-3, SP-6, SP-9, UB-39 For Blood Lin: 1. KI-3, LIV-2, REN-3, SP-6, SP-9, SP-10, UB-28 2. KI-1, KI-7, LIV-3, REN-3, SP-10, UB-17, UB-23, UB-27 For Stone Lin: 1. KI-2, KI-3, LIV-2, REN-3, SP-9, UB-28, UB-39 2. KI-1, LIV-1, REN-4, UB-23, UB-28, UB-40 For Milky Lin: 1. KI-3, KI-6, LIV-2, REN-3, SP-9, UB-23, UB-28 2. REN-4, REN-6, SP-6, SP-9, UB-22, UB-27, UB-28

YANG DEFICIENCY WITH BLOOD STAGNATION

Clinical Manifestations	Facial and bodily superficial edema, especially below the waist Pitting edema A somber, dark complexion Aversion to Cold Lassitude Fatigue Counterflow Cold of the four limbs Heart palpitations Shortness of breath Bluish, purple lips and nails Low back soreness, heaviness, weakness and pain Inhibited urination T: Pale, purple and swollen C: White and slimy P: Deep, choppy and forceless
Treatment Principle	Warm the Kidneys Supplement Yang Tonify Qi Activate the Blood
Herb Formulas	Wen Shen Shen Shi Hua Yu Tang
Points	DU-4, KI-7, UB-17, UB-20, UB-23 For marked Blood Stasis: + moxa or moxa needle SP-10, Xuechou With Kidney Yang Deficiency: + moxa or moxa needle REN-4 With Kidney Yin Deficiency: + KI-7 For fatigue and lack of strength: + SP-3 For abdominal fullness after eating, borborygmus, flatulence and abdominal edema: + PC-6, SP-4 For edema in the limbs: + ST-28 With nausea: + REN-12 With severe abdominal edema: + PC-6, REN-9, SP-4

YANG EDEMA

Clinical Manifestations	Generalized edema Wheezing Dyspnea Restlessness Anuria Irritability Thirst Constipation Urinary obstruction
Treatment Principle	Drain downward Drive out water Expel Wind Release the Exterior
Herb Formulas	Shu Zuo Yin Zi
Points

QI DEFICIENCY WITH BLOOD STAGNATION

Clinical Manifestations	Edema in the cheeks, face and feet which is aggravated by over exertion Bodily form empty and debilitated Fatigue Weakness of the four limbs A sallow, yellow complexion Anorexia Epigastric and abdominal distention and prolapse Inhibited urination Difficult defecation Maybe diarrhea T: Swollen with stasis spots C: Thin and slimy P: Wiry and choppy
Treatment Principle	Tonify Qi Dispel water Activate the Blood Transform Stasis
Herb Formulas	Yi Qi Shen Shi Tang Jia Wei
Points	SP-6, SP-9, ST-36, UB-17, UB-23 For marked Blood Stasis: + moxa or moxa needle SP-10, Xuechou With Kidney Yang Deficiency: + moxa or moxa needle REN-4 With Kidney Yin Deficiency: + KI-7 For fatigue and lack of strength: + SP-3 For abdominal fullness after eating, borborygmus, flatulence and abdominal edema: + PC-6, SP-4 For severe abdominal edema: + PC-6, REN-9, SP-4 For edema in the limbs: + ST-28

QI AND YANG DEFICIENCY

Clinical Manifestations	Pitting edema, worse in the extremities A sensation of heaviness in the body and extremities Fibrillations in the skin and muscles of the extremities Dysuria T: Normal C: White and slippery P: Floating
Treatment Principle	Augment Qi Unblock Yang Promote urination Reduce edema
Herb Formulas	Fang Ji Fu Ling Tang
Points

QI AND YIN DEFICIENCY

Clinical Manifestations	A lusterless facial complexion Scanty Qi Weakness Catches cold easily Afternoon, low-grade fever Five Sole Heat A dry mouth A parched throat or An enduring sore throat T: Reddish C: Little P: Thready and/or weak
Treatment Principle	Tonify Qi Nourish Yin Clear Heat Eliminate Dampness
Herb Formulas	Shen Qi Di Huang Tang modified
Points	KI-7, ST-36, UB-20, UB-23 For low back pain: + KI-3 For a parched throat or an enduring sore throat and an afternoon low-grade fever: + HT-6, KI-6 For anorexia and abdominal fullness: + PC-6, SP-4 For constipation: + SJ-6

BLOOD STAGNATION

Clinical Manifestations	Enduring glomerulonephritis which does not heal A dark facial complexion Blackness around the eyes Dryness and darkness of the lower lobe of the ear Dry skin Liver spots on the hands Possible hematuria T: Dark purplish and/or Possible static spots or macules C: Thin and white P: Deep or Deep and choppy
Treatment Principle	Activate the Blood Transform Stasis
Herb Formulas	Xue Fu Zhu Yu Tang modified
Points	LI-4, REN-3, SP-6, SP-10, UB-17 For Qi Deficiency with fatigue: + SP-3, ST-36 For Qi Stagnation with abdominal or costal distention and pain: + LIV-14, ST-25 For edema: + SP-9, ST-28 For Phlegm-Heat with nausea, chest and Stomach fullness and oppression, a bitter taste and a sticky feeling in the mouth: + REN-12, ST-40

HEAT STAGNATION WITH BLOOD STAGNATION

Clinical Manifestations	Puffy eyelids initially, leading to Generalized edema Recent onset Rapidly developing facial edema Edema of the four limbs, which, when pressed, easily rebound Generalized aching and pain A bright, shiny facial complexion Fever and chills Aversion to Cold Headache Dizziness Eczema Ceaseless itching Scanty, hot reddish-yellow urination T: Purple or Normal or Slightly red C: Slimy and yellow or Thin and white or Thin and yellow P: Slippery and rapid or Floating and tight or Floating and rapid
Treatment Principle	Clear Heat Resolve Dampness Resolve Toxins Activate the Blood
Herb Formulas	Long Kui She Mei Yi Mi Tang
Points	LI-4, REN-3, SP-6, SP-9, SP-10 For marked Blood Stasis: + UB-17 For marked chills and fever: + SJ-5 For a headache and dizziness: + GB-20 For a dry mouth with a bitter taste: + GB-40 For eczema and ceaseless itching: + LI-11 For scanty, hot reddish-yellow urine: + HT-5, UB-28

DAMP-HEAT WITH UNEXPELLED WIND-HEAT

Clinical Manifestations	Generalized yellowing Aversion to Cold Fever Anhidrosis Body aches Aversion to Wind Thirst Nasal congestion Sore throat Edema Constipation Sneezing with clear watery nasal discharge Itchy throat Irritability A stifling sensation in the chest Heat in the joints with pain and swelling Itching Dysuria Expectoration of yellow Phlegm Dark, scanty urination or bloody urination T: Red C: Yellow P: Floating or Slippery and rapid
Treatment Principle	Resolve the Exterior Dissipate Toxins Clear Heat Eliminate Dampness Expel Wind Disperse swelling
Herb Formulas	Ma Huang Lian Qiao Chi Xiao Dou Tang modified
Points	LI-4, LU-7, REN-3, SP-9, UB-13 For pronounced Wind-Heat with a sore throat: + LI-11, SJ-5 For marked Wind-Cold: + moxa GB-20 With a severe cough: + LU-5, UB-12

SAN JIAO DAMP-HEAT

Clinical Manifestations	Puffy eyelids or Generalized edema Short, rough urination Chest oppression Nausea Anorexia Heaviness of the body Sores on the skin T: Normal C Slimy and yellow P: Slippery and rapid or soggy
Treatment Principle	Clear Heat Eliminate Dampness Open the San Jiao
Herb Formulas	San Ren Tan modified
Points	LI-4, REN-3, SJ-6, SP-9, ST-44 With difficult urination: + LI-11, SJ-5, ST-28 With Toxic-Heat skin sores: + DU-10, LI-11, SP-10, UB-40 With hematuria: + KI-2, SP-6

DAMP-HEAT IN THE LOWER JIAO

Clinical Manifestations	Painful urination Difficult, scanty urination Heavy headache Thirst with no desire to drink Oliguria Maybe constipation Lower abdominal fullness and distention Dizziness Maybe urolithiasis T: Normal or Red C: White or Yellow P: Soft and maybe rapid
Treatment Principle	Promote diuresis
Herb Formulas	Wu Lin San
Points	REN-3, SP-6, SP-9, ST-25, ST-28, UB-25

TOXIC HEAT

Clinical Manifestations	Local inflammation with pus Deep-rooted, hard and painful boils Erythema Swelling Heat Carbuncles Furuncles Fever and chills Pain T: Red C: Yellow and greasy P: Rapid
Treatment Principle	Clear Heat Purge Fire Relieve toxicity Cool the Blood Reduce swelling Reduce external carbuncles and furuncles
Herb Formulas	Wu Wei Xiao Du Yin
Points

TURBID DAMPNESS IN THE SAN JIAO

Clinical Manifestations	General edema of the body and extremities Dysuria Oliguria Orthopnea Pitting edema Dyspnea Gasping Anorexia Abdominal fullness and pain T: Thick C: White and thick P: Slow or Wiry
Treatment Principle	Dispel Stagnant Water Dry Dampness Eliminate water from the Lungs Harmonizes the Spleen Relieve edema Move Qi
Herb Formulas	Dao Shui Fu Ling Tang
Points

WATER ACCUMULATION IN THE UPPER JIAO

Clinical Manifestations	Shortness of breath Increased dyspnea when lying down Asthma Abdominal pain Chest and epigastric fullness and distention A dark facial complexion Scanty urination Edema P: Deep and tight
Treatment Principle	Activate Water circulation to eliminate Stagnation Descend Qi
Herb Formulas	Mu Fang Ji Tang
Points

TAN YIN

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 T: Normal C: Thick and slippery P: Slippery, full and maybe wiry
Treatment Principle	Warm and Dissolve Tan Yin
Herb Formulas	Ling Gui Zhu Gan Tang Wu Ling San With indigestion, diarrhea and decreased urination: Si Ling San With jaundice and dysuria: Yin Chen Wu Ling San
Points	PC-6, SJ-6, SP-6, SP-9, ST-40, UB-13, UB-20, UB-23

YI YIN

Clinical Manifestations	Heaviness Swollen extremities Pain in the extremities Sluggish urination Aversion to Cold Fever Anhidrosis Cough Asthma with Phlegm T: Swollen C: Greasy and white P: Tight and wiry
Treatment Principle	Warm Yang Benefit water Dispel exogenous pathogens
Herb Formulas	Wu Ling San With indigestion, diarrhea and decreased urination: Si Ling San With jaundice and dysuria: Yin Chen Wu Ling San
Points	Moxa only PC-6, SJ-6, SP-6, SP-9, ST-40, UB-13, UB-20, UB-23

ZHI YIN

Clinical Manifestations	Cough Asthma Shortness of breath which is worse when lying down Abdominal distention with water retention Edema in the lower extremities Facial edema T: White bubbles C: Thick, greasy and white P: Thready
Treatment Principle	Regulate the Lungs Purge Yin
Herb Formulas	Wu Ling San Xiao Qing Long Tang
Points	LU-7, SP-6, SP-9, UB-13

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