HYPOGLYCEMIA (LOW BLOOD SUGAR)

Clinical Manifestations
  • Distention and fullness of chest, epigastrium and abdomen
  • Nausea
  • Acid reflux
  • Vomiting
  • Anorexia
  • Loose stools
  • Diarrhea
  • Reduced sensation of taste
  • No thirst or preference for hot drinks
  • Sticky sensation in mouth
  • Borborygmus
  • Dizziness
  • Heavy, tired extremities
  • Lassitude
  • Somnolence particularly after eating
  • Maybe insomnia at night
  • Variable fatigue, may feel better for activity and exertion
  • Yin jaundice
  • Heavy head
  • Difficulty concentrating
  • Maybe edema
  • Maybe copious white vaginal discharge
  • Maybe cold limbs, fear of Cold or feeling chilled
  • T: Pink and swollen
  • C: Thick, white and greasy or sticky
  • P: Deep and slow or Soft or Slippery
Treatment Principle
  • Warm Cold
  • Transform Dampness
  • Harmonize the Stomach
  • Strengthen the Spleen
Herb Formulas
  • Ping Wei Sanmodified
  • Chinese Patent Medicines:
    Er Chen Wan
    Xiang Sha Liu Jun Zi Wan
Points
Clinical Manifestations
  • Sallow, pale complexion
  • Mental and physical fatigue
  • Daytime drowsiness and a desire for sleep worse with exertion and after meals
  • May be Blood deficient insomnia at night
  • Anorexia
  • Nausea
  • 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 or Deficient and weak
Treatment Principle
  • Strengthen the Spleen
  • Benefit Qi
  • Dry Dampness if necessary
Herb Formulas
Points
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
  • 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
  • Rapid hungering after eating
  • Sweating
  • Hunger and nervousness 2-4 hours after eating
  • Emaciation
  • Thirst
  • A clamoring Stomach
  • Abdominal fullness after eating
  • Restlessness with fatigue
  • Loose stools or
  • Constipation
  • Lassitude
  • T: Enlarged with lateral cracks
  • C: Yellow, especially in the middle
  • P: Thready, wiry and maybe rapid
Treatment Principle
  • Regulate the Spleen and Stomach
  • Strengthen the Spleen
  • Clear the Stomach
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
  • Weakness and discomfort with nervousness and irritability 2-4 hours after a meal
  • Abdominal distention and pain especially after meals which are worse with emotional upset or stress
  • Hypertension
  • Flank, chest, breast and diaphragmatic distention and pain
  • Gas
  • Borborygmus
  • Diarrhea
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Mood changes
  • Fatigue
  • Maybe a headache
  • Maybe spontaneous perspiration
  • Loose stools
  • Reduced appetite
  • Inappropriate anger
  • Women:
    Irregular menses
    Dysmenorrhea
    Breast distention and pain before and during menses
  • T: Pink or Pale
  • C: White or White and greasy
  • P: Slippery and wiry or Thready and wiry
Treatment Principle
  • Soothe the Liver
  • Invigorate the Spleen Tonify Qi
Herb Formulas
  • Xiao Yao San  modified
  • For Liver Qi Stagnation transforming into Heat with frequent anger and permanent irritability and a bitter taste in the mouth: Xiao Chai Hu Tang modified
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 the Kidneys
  • Promote diuresis
Herb Formulas
Points
Clinical Manifestations
  • Mental confusion
  • Faintness
  • Heavy headedness, especially 2-4 hours after eating
  • Poor Appetite
  • The sound of Phlegm in the throat
  • May vomiting of clear Fluids or drool
  • Lassitude
  • Somnolence
  • Tremors of the limbs
  • T: Pale
  • C: White
  • P: Wiry and slippery
Treatment Principle
  • Strengthen the Spleen
  • Tonify Qi
  • Transform Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Faintness
  • Sweating and nervousness 2-4 hours after eating
  • A pale, white or sallow complexion
  • Restlessness
  • Dizziness
  • Shortness of breath
  • Weakness
  • Fatigue
  • Shortness of breath
  • Spontaneous perspiration
  • A poor appetite
  • Pale lips and nails
  • Impaired memory
  • T: Pale
  • C: White
  • P: Thready and weak
Treatment Principle
  • Tonify and nourish Qi and Blood
  • Nourish the Heart
  • Calm the Shen
Herb Formulas
Points
  • HT-7, SP-6, ST-36
    For severe Blood Deficiency: + UB-17
    For severe Qi Deficiency: + SP-3
    For cold limbs and long, clear urination: + moxa or moxa needle REN-4
    For severe Heart palpitations: + PC-6
    For spontaneous perspiration: + KI-7, LI-4
    For insomnia and restlessness: + DU-20
    For Food Stagnation: + ST-21