LYMPHADENITIS

GENERAL

Clinical Manifestations	Lymphadenitis is the medical term for enlargement in one or more lymph nodes, usually due to infection. Lymph nodes are filled with white blood cells that help the body fight infections. When lymph nodes become infected, it's usually because an infection started somewhere else in the body.
Treatment Principle
Herb Formulas	For toxic swellings in patients with Cold and Deficient constitutions: Qian Jin Nei Tuo San
Points

TAI YANG SHANG HAN

Clinical Manifestations	Cervical lymphadenitis Neck pain Upper back pain Itching or tickling in the throat Cough with expectoration of thin, watery or frothy white sputum Chills with low grade fever Anhidrosis No thirst Headache Aversion to Wind Blocked and / or runny nose with clear, watery nasal discharge Sneezing General body aches Maybe asthma T: Pink C: Thin, white and moist P: Floating and tight
Treatment Principle	Expel Wind Dispel Cold Ventilate the Lungs Resolve Phlegm
Herb Formulas	Ge Gen Tang
Points	DU-16, GB-20, LI-4 + LU-7 or LI-4 + KI-7, LU-5, UB-12, UB-13

TAI YANG - YANG MING

Clinical Manifestations	Chills and fever Anhidrosis Stiff and rigid neck, shoulders and upper back Intolerance of Wind Dislike of Cold Inflammation Vomiting Muscle spasms Mucosal swelling Nasal congestion Sensitivity to dust Headache Wind-Cold Bi (few joints affected, intense but short lived, changes over days or weeks) Inflammation T: Normal C: Thin and white P: Floating and tight
Treatment Principle	Release Wind-Cold in the Exterior and muscle layer Generate Fluids Relieve muscle-ache of the neck Stop vomiting
Herb Formulas	Ge Gen Jia Ban Xia Tang
Points

YANG MING FU WITH QI AND BLOOD DEFICIENCY

Clinical Manifestations	Mesenteric lymphadenitis Constipation characterized by only clear, watery fluids upon defecation or Green, watery foul-smelling diarrhea Altered consciousness Delirium Severe cases: Carphology Hallucinations Grabbing the air Loss of consciousness with frigid, contracted extremities Epigastric and abdominal hardness and pain Abdominal pain that is worse with pressure Thirst Fever A dry mouth and tongue Shortness of breath Low energy A weak voice T: Variable C: Dry and yellow or Dry and black P: Deficient
Treatment Principle	Clear Heat Promote defecation Tonify Qi and Blood
Herb Formulas	Huang Long Tang
Points

SHAO YANG JING

Clinical Manifestations	Alternating chills and fever Restlessness Irritability Anorexia Sometimes fatigue Nausea Occasional vomiting Headaches (side of head) Hypochondriac pain Rib pain Achiness Ear infection Hearing difficulty Red eyes Stiff shoulders Throat pain Hip pain T: Normal with bumps or dots on side C: Thin white P: Wiry
Treatment Principle	Harmonize the Liver and Gall Bladder
Herb Formulas	Xiao Chai Hu Tang
Points	GB-41, SJ-5 To harmonize the Liver and Gall Bladder: GB-34, LIV-3, LIV-14, SJ-5 To stop nausea and vomiting: PC-6, SP-4, ST-36 To treat headache: GB-1, GB-8, GB-14, Taiyang To treat constipation: SJ-6, ST-25 To treat fever: DU-13, DU-14 To support the San Jiao and Regulate Yin: PC-5, PC-6 To support Yin: KI-7 To support the Ying: SP-10 Head: GB-8, SJ-20, Yintang Eyes: GB-14, GB-20, ST-1, UB-1, UB-2 Ear: GB-2, SJ-5, SJ-17, SJ-21 Hypochondriac area: GB-34, GB-40 Ear: Shenmen, Gall Bladder, Point 0

WIND-HEAT WITH PHLEGM

Clinical Manifestations	Neck pain Fever Aversion to Cold Sore throat Thirst White-colored, hard, swollen lymph nodes on both sides of the neck Red, swollen maybe ulcerated nodes in severe cases T: Red C: Yellow P: Wiry and rapid
Treatment Principle	Clear Heat Dispel Wind Transform Phlegm Unblock the channels
Herb Formulas	Niu Bang Jie Ji Tang modified
Points	GB-20, LI-4, SJ-5, SJ-16, ST-40, ST-44 For a fever: + LI-11 For inhibited defecation: + SJ-6 lymph node enlargement: + moxa Bailiao, Zhoujian

LARGE INTESTINE EXCESS HEAT

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	Tiao Wei Cheng Qi Tang Xiao Cheng Qi Tang Da Cheng Qi Tang
Points	LI-11, SJ-6, ST-25, ST-37, ST-44

SPLEEN DEFICIENCY WITH ACCUMULATION OF PATHOGENIC DAMPNESS

Clinical Manifestations	Suppurative lymphadenitis Intermittent discharge of pus The sores either do not suppurate or only leak pus slowly and fail to heal Viscous, thin fluid Mental and physical fatigue Lassitude Lack of luster Poor appetite Loose stools Fever T: Pale C:Thin white P:Thready and weak or Rapid and weak
Treatment Principle	Strengthen the Spleen Tonify Qi and Blood Eliminate Dampness Expel pus Draw out toxicity Promote the generation of flesh
Herb Formulas	Tuo Li Xiao Du Yin
Points

LIVER QI STAGNATION WITH DAMP-HEAT AMD PHLEGM

Clinical Manifestations	Feeling of a lump in the throat The lump is soft and becomes larger or smaller according to the emotional situation The lump is small or medium sized, relatively soft and slippery The edges are indistinct Oppressive feeling in the chest and hypochondrium Difficulty swallowing Loose stools Irregular menstruation Pre-menstrual tension Suppurative sores Ulcerations, abscesses and swellings that remain hard after discharge of pus Restlessness Insomnia Thirst Feeling of Heat Irritability Frequent sighing Bitter taste in the mouth Red eyes Red face Tremor of the hands T: Pale or dusky or Red with red tip and edges C: White or Thin and greasy or Dry and yellow P: Wiry
Treatment Principle	Disperse Qi Stagnation Dispel Heat and Dampness Resolve Phlegm Dissipate nodules Reduce swelling Drain pus
Herb Formulas	San Zhong Kui Jian Tang San Zhong Kui Jian Tang #1 San Zhong Kui Jian Tang #2
Points

LIVER FIRE (GROIN)

Clinical Manifestations	Severe, splitting headaches with dizziness Sudden tinnitus or Sudden deafness Flushed face Red, swollen, painful eyes Irascibility with violent angry outbursts Dry mouth Bitter taste in mouth Thirst Vomiting sour or bitter liquid Insomnia Restlessness Constipation or dry stools Maybe rib pain In severe cases: Mania Hemoptysis Hematemesis Epistaxis T: Red tip and edges C: Thick, yellow, dry and rough P: Wiry, Excess and rapid
Treatment Principle	Clear the Liver Purge Fire
Herb Formulas	Long Dan Xie Gan Tang
Points	GB-12, GB-34, GB-37, LIV-2, UB-18, UB-19

HEAT IN THE LIVER AND GALLBLADDER CHANNELS

Clinical Manifestations	Fever Chills Severe headache Flushed cheeks Bad breath Tinnitus Hearing loss Irritability Insomnia Coughing up viscous, thick sputum Dark urine Swollen lymph nodes Abdominal tension and itching Darkened skin Epistaxis Itching Formation of cellulitis T: Red C: Normal or Yellow P: Wiry and rapid
Treatment Principle	Drain Fire Relieve toxicity Spread the Liver Qi Strengthen the Spleen Disperse Wind-Heat
Herb Formulas	Chai Hu Qing Gan Tang
Points

QI, BLOOD AND PHLEGM STAGNATION

Clinical Manifestations	Hard, immovable lumps anterior or posterior to the ear Soft, painless lumps Fullness in the chest Hypochondriac pain Sighing Anxiety Insomnia T: Swollen and purple C: Sticky P: Wiry
Treatment Principle	Resolve Phlegm Dissolve hardenings Reduce and disperses goiters and tumors
Herb Formulas	Hai Zao Yu Hu Tang Shi Liu Wei Liu Yin
Points

BLOOD AND YANG DEFICIENCY WITH COLD

Clinical Manifestations	Chronic lymphadenitis Localized painful swellings without a head that bleed into the surrounding tissues and do not affect the color or texture of the skin The swellings are not hot to the touch No thirst Swollen and painful joints Wasting of the muscles of the thigh and calf T: Very pale or Pale-pink C: White P: Thready and forceless or Deep and slow
Treatment Principle	Warm the Yang Tonify the Blood Disperse Cold Eliminate Stagnation
Herb Formulas	Yang He Tang
Points

INTERIOR HEAT

Clinical Manifestations	Headache Brain ringing Swelling with no change in skin color Fever Irritability Abdominal fullness Vomiting Dry heaves Thirst Constipation Reduced urination Reddish urination T: Reddish C: Turbid and yellow P: Deep and excess
Treatment Principle	Clear Heat Resolve toxicity Invigorate the Blood Reduce swelling Reduce constipation Alleviate pain
Herb Formulas	Nei Shu Huang Lian Tang
Points

DAMP-HEAT

Clinical Manifestations	Headache Chills Afternoon fever Heavy sensation in the body Generalized pain Pale yellow (sallow) complexion Stifling sensation in chest Loss of appetite Feverishness and pain of the body Fatigue Lack of thirst or thirst with no desire to drink Chest and abdominal fullness Maybe aversion to Cold Nausea Heaviness of the head T: Normal C: White or Greasy and white P: Wiry, thin and soggy or soft or Superficial and soft
Treatment Principle	Spread Qi Facilitate Qi Clear Damp-Heat
Herb Formulas	San Ren Tang
Points

HEAT AND BLOOD STAGNATION

Clinical Manifestations	Mesenteric lymphadenitis Lower abdominal distention and pain (usually on right) Pain increases on pressure with rebound tenderness Guarding of the abdominal musculature Groin pain resembling urinary dysfunction without urinary difficulty Groin pain relieved by flexing hip and knee Groin pain intensified by extending hip Perspiration Irregular or intermittent fever followed by chills and perspiration May be mass in lower right quadrant of abdomen Aversion to Cold Hard lumps T: Pink C: Thin, white or yellow and greasy P: Slippery and rapid or Tight or Wiry and tight or Tight and rapid
Treatment Principle	Drain Heat Break up Blood Stasis Invigorate the Blood Disperse nodules Reduce swelling
Herb Formulas	Da Huang Mu Dan Tang
Points

PHLEGM-DAMPNESS (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	Qing Shi Hua Tan Tang
Points	PC-6, SJ-6, SP-6, SP-9, ST-40, UB-13, UB-20, UB-23

PHLEGM-DAMP RETENTION IN THE CHANNELS

Clinical Manifestations	Tuberculous lymphadenitis of the joints Swelling of the affected area Hardening of the affected area Stomach ache with tenderness Pain in the affected area Hematemesis with purplish discharge No change in skin color in the early stages T: Dark C: White and smooth P: Choppy
Treatment Principle	Warm Cold Dissolve Phlegm Disperse Dampness Dispel Stagnation Open the channels and collaterals
Herb Formulas	Xiao Jin Dan
Points

PHLEGM FIRE

Clinical Manifestations	Nodules on the neck that are firm and rubbery Dry throat Bitter taste in mouth Dry mouth T: Red C: Normal P: Rapid and slippery and/or Wiry
Treatment Principle	Clear Heat Resolve Phlegm Soften Hardness Dissipate nodules
Herb Formulas	Xiao Luo Wan
Points

TOXIC HEAT

Clinical Manifestations	Hot toxic sores Pimples Red eyes Sore throat Mouth or tongue sores Dark, rough urination Reddish urine Restlessness and Heat in the Heart and diaphragm Constipation Gum bleeding Pimples Burning urination Dizziness T: Red C: Yellow P: Slippery and rapid
Treatment Principle	Dispel Wind Transform Dampness Regulate the Liver Clear Heat Resolve toxicity
Herb Formulas	Shi Wei Bai Du San Zi Gen Mu Li Tang Pai Nong San Topical: Jin Huang San (Gao)
Points

TOXIC HEAT WITH PHLEGM

Clinical Manifestations	Strong fever and chills Redness of the head and face Swelling and burning pain of the head and face Throat dysfunction Swelling and pain of the throat Thirst Red and swollen eyes Difficulty opening the eyes Aversion to Cold Throat Dryness Facial edema Restlessness T: Red or Dry and red C: Powdery white or Yellow P: Floating, rapid and forceful or Rapid and forceful
Treatment Principle	Clear Heat Eliminate Fire toxin Disperse Wind-Heat
Herb Formulas	Pu Ji Xiao Du Yin
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