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HOT FLASHES

GENERAL

Clinical Manifestations	Hot flashes are sudden feelings of warmth, which are usually most intense over the face, neck and chest. The skin might redden, as if blushing. Hot flashes can also cause sweating, and if too much body heat is lost, there might be a chilled feeling afterward.
Treatment Principle
Herb Formulas
Points	KI-6, LU-7

TAI YANG - SHAO YANG

Clinical Manifestations	Joint pain with a crackling sensation Epigastric pain Fatigue Hot flashes Gastrointestinal weakness Headache Heaviness in the head Fever Moderately severe chills Distension beneath the Heart Periumbilical or lower abdominal pain Tenseness around the pubic bone Subcostal pain Epigastric fullness Nausea Mild vomiting Mild thoraco-costal discomfort Costal distress Tension in the rectus abdominus Chest distension Abdominal pain Abdominal distension Constipation Irritability Insomnia Repeated loss of spinal alignment due to muscular tension P: Floating and weak
Treatment Principle	Release the Exterior and muscle layer Harmonize and release the Shao-Yang Harmonize the Liver, Spleen and Intestines Dispel Water Accumulation
Herb Formulas	Chai Hu Gui Zhi Tang
Points

TOXIC WIND-HEAT IN THE UPPER JIAO

Clinical Manifestations	Headache Sores on the face and neck Pimples on the face and neck Boils on the face and neck Fetal Heat Red and swollen eyes Suppurative infection of the head and eyes Eyes itching Red face and neck Pain and burning sensation of the eyes Ear or gum inflammation Head sores Anhidrosis Hot flashes due to fullness Red nose Oliguria Skin rashes on the face Carbuncles Constipation Scanty urination T: Red C: Thin yellow P: Rapid or Strong or Floating and rapid
Treatment Principle	Clear Heat Resolve toxicity Expel Wind Dispel Dampness
Herb Formulas	Qing Shang Fang Feng Tang
Points

QI STAGE: LUNG AND STOMACH HEAT INJURING QI AND FLUIDS

Clinical Manifestations	Lingering fever from a febrile disease Vomiting Irritability Thirst with a desire to drink Parched mouth, lips and throat Choking cough Restlessness Insomnia Nausea Anorexia Profuse perspiration A dry mouth Indigestion Listlessness Chest oppression Ulcerations of the mouth Coarse skin Cough Stifling sensation in the chest or epigastrium Dyspnea Night sweats Hemoptysis Sore throat Throat sores Facial flushing Constipation A dry mouth and throat Wheezing Steaming bones Hoarseness T: Red or Red, dry and cracked C: Little or None P: Thready and rapid or Thready, rapid and weak or Rapid and Deficient
Treatment Principle	Clear Heat Generate fluids Tonify Qi and Blood Harmonize the Stomach Nourish Yin Descend Fire
Herb Formulas	Zhu Ye Shi Gao Tang + Zi Yin Jiang Huo Tang modified Zi Ye Qing Re Tang
Points

LUNG AND KIDNEY YIN DEFICIENCY

Clinical Manifestations	Unproductive cough or Scanty, sticky phlegm or Sometimes blood-streaked sputum Dry mouth Dry throat Hot flashes Low back and knees sore and weak "Steaming Bone" tidal fever Night sweats Malar flush Maybe hoarse voice Maybe pain in shin, foot, and heel Sterility Spermatorrhea T: Red and dry C: None P: Thready and rapid
Treatment Principle	Nourish Yin Moisten the Lungs Reinforce the Kidneys
Herb Formulas	Bai He Gu Jin Tang Ba Xian Chang Shou Wan Mai Wei Di Huang Wan
Points	HT-6, KI-3, KI-6, LU-6, LU-9, UB-13, UB-23

HEART AND KIDNEY YIN DEFICIENCY

Clinical Manifestations	Insomnia with much dreaming Spermatorrhea with erotic dreams Premature ejaculation Irritability Easily startled Palpitations Poor memory Dizziness Tinnitus Low back soreness Legs weak Tidal fever Night sweats Dry mouth Red cheeks Urine short and red T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Reduce Fire Make Heart and Kidney communicate
Herb Formulas	Mai Wei Di Huang Wan
Points	HT-7, KI-3, PC-6, PC-7, UB-15, UB-23

LIVER QI STAGNATION TURNING TO HEAT WITH UNDERLYING QI AND BLOOD DEFICIENCY

Clinical Manifestations	Irritability Short temper Restlessness Fever or tidal fever Red eyes Dry mouth and throat Palpitations Lower abdominal pain Difficult urination Painful urination Increased menstrual flow Uterine bleeding Early menstruation Aching in limbs Dizziness Mental instability Red face Thirst Turbid urine Alternating chills and fever Red cheeks Wheezing Nervousness Headache Red eyes Dry mouth Anorexia Infertility Abdominal pain Spontaneous sweating or night sweats with fever Anxiety Dry eyes Hypochondriac pain Somnolence Insomnia Aching shoulders Five Sole Heat Earache Premenstrual tension Hot flashes Fatigue Lassitude Depression Restlessness Constipation with flushing up Pale complexion Bitter taste in mouth Vertigo Abdominal distention near the umbilicus Epistaxis Irregular menstruation Heaviness in the lower abdomen T:Red or Red edges C: Thin and yellow P: Thready, rapid and wiry or Wiry and tight and rapid
Treatment Principle	Pacify the Liver Spread Liver Qi Strengthen the Spleen Nourish the Blood and Yin Regulate menstruation Sedate the Heart Clear Heat
Herb Formulas	Jia Wei Xiao Yao San
Points

LIVER AND KIDNEY YIN DEFICIENCY WITH FIRE RISING

Clinical Manifestations	Facial complexion pale and sallow Both cheeks slightly red Dizziness Dry eyes Hot flashes 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	Zhi Bai Di Huang Wan Mai Wei Di Huang Wan
Points	KI-3, LIV-3, SP-6, UB-18, UB-23

KIDNEY YIN DEFICIENCY

Clinical Manifestations	Menstrual disorders Flush fever Irritability Insomnia Frequent dizziness Tinnitus Hot flashes Sweating Five Sole Heat Heart palpitations Aches in the waist and knees Maybe early or irregular menstruation, with bright red menses that may be increased or decreased Maybe dry and itchy skin Dry mouth and throat Dry constipation Decreased and dark urine T: Red C: Little or none or Slightly yellow P: Thready and rapid
Treatment Principle	Nourish Kidney Yin Suppress rising Yang
Herb Formulas	Zuo Gui Wan Liu Wei Di Huang Wan Qing Hao Bie Jia Tang Mai Wei Di Huang Wan
Points

KIDNEY YIN DEFICIENCY WITH FIRE FLARING

Clinical Manifestations	Hot flashes 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 Loose teeth 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 Seminal emission Dribbling urination 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
Points	KI-1, KI-2, KI-3, KI-6, KI-9, KI-10, REN-4, SP-6, UB-23 KI-3, SP-6, UB-15, UB-23, UB-43 If Heart Fire also Flares: HT-7, PC-7, UB-15 If Liver Yang also Rises: LIV-3, UB-18

KIDNEY YIN AND YANG DEFICIENCY

Clinical Manifestations	Aversion to Cold Cold, numb limbs A cold body Frequent hot flashes with sweating Dizziness Tinnitus Tidal fever Heart palpitations Insomnia Aches in the waist Weakness Five Sole Heat Shortness of breath Disinclination to talk Irregular menstruation Emaciation Lassitude T: Pale or Pink or Pale-pink C: Thin or None P: Deep and thready
Treatment Principle	Nourish and balance Kidney Yin and Yang Tonify the Chong and Ren channels
Herb Formulas	Zuo Gui Wan + Er Xian Tang Er Xian Tang modified He Che Da Zao Wan With Insufficiency of Jing and Blood in the Du, Chong and Ren Channels: Gui Lu Er Xian Jiao
Points	PC-6, REN-4, REN-6, SP-6, UB-15 KI-2, KI-3, KI-6 or KI-7, REN-4, SP-6, ST-36

QI AND BLOOD DEFICIENCY WITH QI STAGNATION AND HEAT

Clinical Manifestations	Constipation Facial flushing Melancholy Restlessness Headache Vertigo Tinnitus Abdominal distention Acid regurgitation Vertigo Stiff shoulders Neurosis Fever Palpitations Lower back pain Hot flashes Belching
Treatment Principle	Tonify Qi Nourish the Blood Regulate Qi Clear Heat
Herb Formulas	Nu Shen San
Points