MENIERE'S DISEASE (AURAL VERTIGO)

Clinical Manifestations
  • Paroxysmal vertigo
  • May be nausea and vomiting
  • May be tinnitus and gradual impairment of hearing
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Alternating chills and fever
  • Dry throat
  • Bitter or sour taste in the mouth
  • Dizziness
  • Sensation of fullness in the chest and hypochondrium
  • Irritability
  • Heartburn
  • Chest distention
  • Difficulty taking deep breaths
  • Hardness beneath the Heart
  • Hypochondriac pain with pressure
  • Stress
  • Being downcast with no desire to eat
  • Anorexia
  • Vertigo
  • May be palpitations
  • Dysphoria
  • Retching
  • Abdominal pain
  • Stomach ache
  • Reduced appetite
  • Subcostal bloating
  • Depression
  • Amenorrhea
  • Tendency to diarrhea
  • Nervousness
  • Nausea
  • Vomiting
  • May be urinary dysfunction
  • Restlessness
  • Sometimes fatigue
  • Nausea/vomiting (occasional)
  • Headaches (side of head)
  • Rib pain
  • Achiness
  • Ear infection
  • Hearing difficulty
  • Red eyes
  • Stiff shoulders
  • Throat pain
  • Hip pain
  • T: Pink
  • C: Thin and white
  • P: Wiry
Treatment Principle
  • Harmonize and release Shao Yang Stage disorders
  • Relieve the Liver
  • Harmonize the Liver and Spleen
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Alternating chills and fever (chills predominate) or
  • Chills without fever
  • Sensation of irritability in the chest
  • Sweating from the head
  • Fatigue
  • Gastrointestinal weakness
  • Heavy head
  • Neuralgia
  • Epigastric distension
  • Lower abdominal pain
  • Tension around pubic bone
  • Periumbilical pain
  • Urinary difficulty
  • T: Moist
  • C: White and slippery
  • P: Superficial and wiry
Treatment Principle
  • Disperse Clumping
  • Harmonize the Shao Yang
  • Warm the Interior
  • Dispel Cold
Herb Formulas
Points
Clinical Manifestations
  • Vomits clear fluid
  • Vertex headache
  • Body cold
  • Diarrhea
  • Complete exhaustion of Yang
  • T: Pale
  • C: White
  • P: Weak.
Treatment Principle
  • Warm Yang especially in the Liver and Stomach
  • Descend turbidity
Herb Formulas
Points
Clinical Manifestations
  • Delirium
  • Heat in upper body
  • Cold in lower body
  • Sensation of Qi rushing to the chest
  • Vomits worms
  • Persistent thirst
  • Feverishness
  • Anorexia (hungry but can't eat)
  • Chronic diarrhea
  • Cold extremities
  • Maybe edema
  • Vertex headache
  • Vomits food
  • Cardiac Heat with pain
  • T: Red or pink or pale and flabby
  • C: Thick and greasy or thin
  • P: Deep, thready and weak or wiry
Treatment Principle
  • Clear worms
  • Clear Heat (Do not purge, create diaphoresis, or create emesis)
  • Revive Yang
Herb Formulas
Points
Clinical Manifestations
  • Cough with copious, thin, white, frothy sputum
  • Chest congestion with full feeling
  • Dyspnea which is worse when lying down
  • Sometimes asthma
  • T: Pink
  • C: Thick, white and greasy or sticky
  • P: Slippery
Treatment Principle
  • Activate the Spleen
  • Dry Dampness
  • Expel Phlegm
  • Purge the Lungs
Herb Formulas
Points
Clinical Manifestations
  • Anorexia
  • Abdominal distention and discomfort
  • Suffocating sensation in the chest
  • Epigastric mass
  • Maybe abdominal pain on palpation
  • Yang jaundice (sclera and skin are bright yellow)
  • Dislike of oily foods
  • Dizziness
  • Nausea
  • Vomiting
  • Lassitude
  • Scanty, dark urine
  • Maybe thirst or thirst with no desire to drink
  • Diarrhea with foul smell or
  • Constipation
  • Fever
  • Sweet sticky taste or bitter taste in mouth
  • T: Pink
  • C: Thick, yellow and greasy (maybe sticky)
  • P: Soft and rapid
Treatment Principle
  • Clear Heat
  • Benefit Dampness
Herb Formulas
Points
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
Points
Clinical Manifestations
  • Dizziness
  • Fullness in the chest and abdomen
  • Palpitations
  • 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
  • Coughing with thin sputum
  • 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 or Pale and swollen
  • C: Thin and white
  • P: Deep and weak
Treatment Principle
  • Warm the Center
  • Dispel Cold
  • Transform Phlegm
  • Dispel Fluids
  • Strengthen the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Body cold
  • Limbs icy
  • Complexion white and shiny
  • Low back, knees and abdomen feel cold and painful
  • Lower abdomen feels cold and painful
  • Loose stools containing undigested food
  • “Cock-crow” diarrhea (occurs at about 5 am)
  • Edema of face and limbs
  • Dysuria
  • Severe:
    Abdominal ascites
  • T: Pale, moist and swollen
  • C: Thin and white or White and greasy
  • P: Deep, thready, weak and maybe slow
Treatment Principle
  • Warm and Reinforce the Spleen and Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Nausea
  • Sudden vomiting of Thin Mucus or clear Fluids
  • Absence of thirst
  • May feel thirsty
  • Palpitations
  • Vertigo
  • Dizziness
  • Dysuria
  • Focal distention of the epigastrium
  • T: Normal
  • C: White and Slippery
  • P: Wiry
Treatment Principle
  • Harmonize the Stomach
  • Stop vomiting
  • Dispel Phlegm
  • Regulate water circulation
  • Disperse Stagnation
Herb Formulas
Points

Clinical Manifestations
  • Unremitting belching
  • Hiccup
  • Regurgitation
  • Nausea
  • Vomiting
  • Hard epigastric distention
  • Abdominal distention
  • T: Normal
  • C: White and Slippery or White and smooth
  • P: Wiry and deficient or Wiry, taut and feeble
Treatment Principle
  • Descend Qi
  • Transform Phlegm
  • Augment Qi
  • Harmonize the Stomach
Herb Formulas
Points
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
Points
Clinical Manifestations
  • Palpitations
  • Dysuria
  • Shortness of breath
  • Dyspnea
  • Dizziness
  • Muscular twitching
  • Whole body edema
  • Cold body
  • Icy limbs
  • Cold abdomen with watery stools
  • Edema of limbs
  • Cough
  • Pale complexion
  • Lips and nails cyanosed
  • Soreness and aching of the shoulders and back
  • Abdominal pain
  • Diarrhea
  • T: Pale or Purple (Lavender)
  • C: White and greasy
  • P: Deep or Deep and minute
Treatment Principle
  • Support Yang
  • Expel Cold
  • Promote diuresis
Herb Formulas
Points
Clinical Manifestations
  • Mental confusion
  • Clouding of consciousness
  • Talking to oneself
  • Acting as if no one else is present
  • Dull expression with blank stare
  • Odd behavior
  • Maybe loss of consciousness
  • Maybe falling to the ground
  • Sound of phlegm in throat with gurgling
  • T: Pink
  • C: White and greasy
  • P: Deep and slippery; maybe wiry
Treatment Principle
  • Clear Phlegm
  • Open the Orifices
Herb Formulas
Points
Clinical Manifestations
  • Sudden collapse with loss of consciousness
  • Lockjaw (trismus)
  • Eyes open
  • Both fists clenched
  • Retention of urine
  • Constipation
  • Stiffness and spasm of limbs
  • Red face
  • Body feels hot
  • Coarse breathing
  • Bad breath
  • Restlessness
  • Involuntary movements
  • Usual sequelae of C.V.A. such as:
    Hemiplegia
    Aphasia
    Facial paralysis
  • T: Pink
  • C: Yellow and greasy
  • P: Slippery, wiry and rapid
Treatment Principle
  • Clear Phlegm
  • Open the Orifices
Herb Formulas
Points
Clinical Manifestations
  • Irritability
  • Palpitations
  • Bitter taste in mouth
  • Insomnia
  • Much dreaming
  • Easily startled
  • Severe cases:
    Incoherent speech
    Crying and laughing without reason
    Manic agitation with irrational behavior
    May physically attack or abuse others
  • T: Red tip
  • C: Yellow and greasy
  • P: Slippery, Excess, rapid and maybe wiry
Treatment Principle
  • Clear the Heart
  • Break through Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Feeling of obstruction in throat as if a slice of roast meat were stuck there which cannot be coughed up nor swallowed down. This sensation becomes more prominent during emotional upset and subsides when relaxed
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • T: Pink
  • C: Thin and white
  • P: Slippery and wiry (slippery due to Phlegm)
Treatment Principle
  • Spread Qi
  • Resolve Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Dizziness that is worse with stress and generally not related to postural changes
  • Hypochondriac tightness, discomfort or pain
  • Headache or
  • Head distention
  • Vertigo
  • Bitter taste in the mouth
  • Frequent sighing
  • Epigastric pain and distention
  • Flatulence
  • Alternating constipation and diarrhea
  • Dry mouth and throat
  • Fatigue, may feel better with activity
  • Anorexia
  • Alternating chills and fever
  • Irregular menstruation
  • Breast distention
  • Premenstrual syndrome
  • Lassitude
  • Insomnia
  • Shoulder and back pain
  • Rib pain
  • Tightness or fullness in the chest
  • Cold extremities
  • Pain in the arms and legs
  • Heaviness of the head
  • Night sweats
  • Bloating and pain at the umbilicus and abdomen
  • Diarrhea alternating with constipation
  • Five Sole Heat
  • Palpitations
  • Malar flush
  • Depression
  • Irritability
  • Increased desire to sleep
  • All symptoms are worse with stress
  • T: Pink
  • C: Thin white or yellow
  • P: Wiry and Deficient or Wiry, tight and Deficient
Treatment Principle
  • Pacify the Liver
  • Spread Liver Qi
  • Strengthen the Spleen
  • Nourish the Blood
  • Harmonize the Liver and Spleen
Herb Formulas
Points
Clinical Manifestations
  • Abdominal distention and pain
  • Gas
  • Borborygmus
  • Diarrhea
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Women:
    Irregular menses
    Dysmenorrhea
    Breast distention and pain before and during menses
  • T: Pink
  • C: White and greasy
  • P: Slippery and wiry
Treatment Principle
  • Soothe the Liver
  • Invigorate the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Epigastric pain
  • Belching with acid regurgitation
  • Recurrent or chronic nausea
  • Vomiting
  • Vomiting immediately after meals
  • Sour belching
  • Acid reflux
  • Heartburn
  • Indigestion
  • All symptoms are worse when emotionally upset
  • Fullness of the chest
  • Hypochondriac pain
  • Continual belching
  • Anorexia
  • Epigastric distention
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Bitter taste in the mouth
  • Dry mouth
  • Irritability
  • Inappropriate anger
  • Frustration
  • Anxiety
  • Moodiness
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • Head and nape painful or swollen
  • T: Pink or Dark with slightly red edges
  • C: Thin and white or Thin and sticky yellow
  • P: Wiry or Thready and wiry or Wiry and slippery
  • With Heat:
    Hot, foul vomit
    Aversion to Heat
    Thirst
    T: Normal
    C: Yellow
    P: Slippery and wiry
  • With Cold:
    Vomiting large amounts of clear fluid
    No thirst
    Aversion to Cold
    Prefers warmth
    T: Normal
    C: White
    P: Thready
Treatment Principle
  • Soothe the Liver
  • Harmonize the Stomach
  • Descend Stomach Qi
  • Stop nausea and vomiting
Herb Formulas
  • Yue Ju Wan modified
  • Chai Hu Shu Gan Tang
  • Xiao Yao San
  • With Heat: Si Ni San
  • With Stomach Heat: Zuo Jin Wan
  • With persistent or severe vomiting: Xuan Fu Dai Zhe Tang
  • Chinese Patent Medicines:
    Xiang Xia Yang Wei Wan
    Xia Yao Wan
    With pain: Shu Gan Wan
    For robust patients: Chai Hu Shu Gan Wan
    With constipation: Chen Xiang Hua Qi Wan
    With Stagnant Heat: Jia Wei Xiao Yao Wan
    With Spleen and Stomach Deficiency: Xiang Sha Yang Wei Wan
    With severe Damp-Heat in the Stomach: Huang Lian Jie Du Wan
Points
Clinical Manifestations
  • High fever
  • Contractures
  • Spasms
  • Neck stiffness
  • Convulsions
  • Oculogyric crises
  • Opisthotonos
  • Coma
  • Possibly death
  • T: Red or Deep red
  • P: Wiry and rapid
Treatment Principle
  • Clear Heat
  • Cool the Liver
  • Subdue Wind
Herb Formulas
Points
Clinical Manifestations
  • Pale complexion
  • Pale lips
  • Blurred or failing vision
  • Spots before eyes
  • Dizziness
  • Dry eyes
  • Pale nail beds
  • Irritability
  • Frightens easily
  • Insomnia with much dreaming
  • Tinnitus
  • Numbness of limbs
  • Tremor, spasms or involuntary movements (chorea)
  • Involuntary shaking of head
  • Light menses or amenorrhea
  • Late menses
  • Tic or tremor of hands and feet
  • Maybe trismus
  • T: Pale
  • C: Little
  • P: Thready and wiry
Treatment Principle
  • Nourish the Blood
  • Subdue Wind
Herb Formulas
Points
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
  • Liver Fire Attacks the Lungs:
    Hemoptysis
    Rib pain which is severe when coughing
  • Liver Fire Attacks the Stomach:
    Hematemesis
  • 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
Points
Clinical Manifestations
  • Dizziness
  • Impaired vision
  • Night blindness
  • Tinnitus with a loud noise
  • Irascibility
  • Throbbing headache with distended feeling
  • Flushed face
  • Blurred vision
  • Red, dry eyes with feeling of grit in eye
  • Dry mouth and throat with bitter taste in mouth
  • Palpitations
  • A bitter taste in the mouth
  • Nervousness
  • Insomnia with much dreaming
  • Dry throat
  • Thirst
  • Five sole Heat (palms, soles and center of chest)
  • Night sweats
  • Light or late menses or
  • Amenorrhea
  • Condition worse with fatigue
  • T: Red and dry
  • C: Little or None or Yellow
  • P: Thready and wiry or Wiry and rapid (when Yang is Rising and Excess, pulse is forceful) or Thready and rapid when Yang is not prominent
Treatment Principle
  • Nourish Yin
  • Pacify the Liver
  • Subdue Yang
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Blurred vision
  • Impaired vision
  • Dry eyes
  • Night blindness
  • Tinnitus
  • Headache
  • Nervousness
  • Insomnia with much dreaming
  • Dry throat
  • Thirst
  • Five sole Heat
  • Night sweats
  • Light menses or
  • Late menses or
  • Amenorrhea
  • T: Red
  • C: Little
  • P: Thready, wiry and rapid
Treatment Principle
  • Nourish Yin
  • Nourish the Liver
Herb Formulas
Points
Clinical Manifestations
  • Yang jaundice (sclera and skin bright yellow)
  • Pain and fullness in ribs on both sides
  • Maybe pain in the right hypochondrium
  • Bitter taste in mouth
  • Nausea
  • Vomiting sour and bitter fluids
  • Anorexia
  • Maybe alternating chills and fever
  • Concentrated, dark urine
  • Abdominal distention
  • Women:
    Yellow vaginal discharge with foul smell
    Pruritis vulvae
  • Men:
    Pain, swelling and burning sensations of testicles
  • T: Pink
  • C: Yellow and greasy or sticky
  • P: Wiry and rapid or Slippery and rapid
Treatment Principle
  • Clear Dampness
  • Purge Heat from Liver and Gall Bladder
Herb Formulas
Points
Clinical Manifestations
  • Morning sickness or
  • Vomiting during pregnancy
  • Nausea with sour regurgitation or
  • Vomiting of sour material
  • Hypochondriac discomfort
  • Belching
  • Sighing
  • Moodiness
  • Dizziness
  • Depression
  • Concentrated urine
  • A tendency toward constipation
  • T: Red edges
  • C: Yellow
  • P: Wiry and rapid
Treatment Principle
  • Clear Liver and Stomach Heat
    Descend Qi
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Alternating chills and fever with fever more prominent
  • A bitter taste in the mouth
  • Nausea
  • Dry heaves
  • Hiccups
  • A stifling sensation in the chest
  • Chest and hypochondriac pain and distention
  • Distending pain in the upper abdomen
  • Vomiting bitter or sour fluids that are yellow and sticky
  • Acid regurgitation
  • Thirst
  • T: Red
  • C: Yellowish or White and greasy or Yellow and greasy
  • P: Left: Wiry and rapid, Right: Slippery and rapid
Treatment Principle
  • Clear Gall Bladder Heat
  • Dispel Dampness
  • Harmonize the Stomach
  • Resolve Phlegm
Herb Formulas
Points
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
  • 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
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
  • Dizziness
  • Continuous tinnitus whichworsens during attacks
  • Marked decrease in hearing during attacks
  • Lassitude
  • Insomnia with profuse dreams
  • Low back and knees weak and aching
  • Premature ejaculation
  • In adults:
    Hair loss
    Graying or whitening of the hair
    Weak sexual function
    Atrophy and weakness of the feet with difficulty walking
    Poor memory
    Senility (premature or mature)
    Brittle bones
    Gradual deterioration of the hearing
  • In children:
    Retardation in mental and/or physical development
    Failure to thrive
    Late or incomplete closing of the fontanel
    Poor bone development
    Brittle bones
  • With Yin Deficiency predominant:
    Five Sole Heat
    T: Red
    C: Little or None
    P Thready and rapid
  • With Yang Deficiency predominant:
    Cold extremities
    Aversion to Cold
    Decreased libido
    T: Pale
    C: Thin and white
    P: Deep, thready and forceless
Treatment Principle
  • Reinforce the Kidneys
  • Benefit Jing
  • Enrich Yin or
  • Strengthen Yang
Herb Formulas
Points
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
  • Deafness
  • Tinnitus that worsen at night
  • Dizziness
  • Hypoacusis (elderly people)
  • Blurred vision
  • Fever
  • Insomnia
  • Irritability
  • Hard of hearing
  • Ocular pain
  • Red eyes
  • Thirst
  • Auditory depression
  • Poor hearing
  • T: Red
  • C: Yellow
  • P: Weak, thready and rapid
Treatment Principle
  • Nourish Yin and Blood of the Liver and Kidneys
  • Improve hearing
  • Clear Heat 
Herb Formulas
Points

Clinical Manifestations
  • Dizziness and vertigo made worse by movement
  • Fatigue causing recurrent attacks
  • Loose stools
  • Poor appetite
  • Pale face
  • Weak voice
  • Lassitude
  • Somnolence
  • Slight, but continuous tinnitus
  • Decreased hearing
  • Reluctance to speak
  • Sweating with little or no exertion
  • Palpitations
  • Insomnia
  • Dry skin
  • Dry hair
  • Poor memory
  • Paleness
  • Scanty periods
  • Cold hands and feet
  • T: Pale or Pale, thin and dry or Thick and pale with teethmarks
  • C: Thin and white
  • P: Weak or Thin and choppy or Thready and weak
Treatment Principle
  • Tonify Qi
  • Nourish the Blood
Herb Formulas
Points
Clinical Manifestations
  • Anemia
  • Uterine bleeding
  • Cold extremities
  • Pale or sallow face
  • Dizziness
  • General fatigue
  • Coarse skin
  • Nocturnal emissions
  • Weak knees
  • Fatigue
  • Dyspnea
  • Night sweats
  • Irregular menstruation
  • Insomnia
  • Intolerance of Cold
  • Decreased eyesight after a prolonged illness
  • Anxiety
  • Intermittent fever
  • Jaundice
  • Deficient cough
  • Shortness of breath
  • Palpitations
  • Anorexia
  • Listlessness
  • Lassitude
  • Spontaneous sweating
  • Spermatorrhea
  • Continuous spotting
  • Leukorrhea
  • Weak legs and knees
  • T: Pale
  • C: Thin and white
  • P: Thready and weak
Treatment Principle
  • Replenish Yang
  • Warm and tonify Qi and Blood
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Vertigo (possibly severe)
  • Headaches (may be recurrent)
  • Chest fullness and distention
  • Epigastric fullness and distention
  • Nausea
  • Vomiting
  • Copious sputum
  • Poor appetite
  • Spots before the eyes
  • Dazzled vision
  • Heaviness of the head
  • Lockjaw
  • Sinus congestion
  • Cold feet
  • Fatigue
  • Abdominal distention
  • Weakness of hands and feet
  • May be edema
  • Sudden loss of consciousness
  • Excess salivation
  • Compulsive sleeping after eating
  • Paralysis
  • Numbness
  • Slurred speech
  • Deviated eyes
  • Deviated mouth (wry mouth)
  • Tinnitus with a low sound
  • Decreased hearing
  • Vexation
  • Excess dreams
  • Sputum in the throat
  • Hypertension
  • Stroke
  • Maybe palpitations
  • T: Normal
  • C: White and greasy
  • P: Wiry and slippery or Soft and slippery or Soft and moderate
Treatment Principle
  • Strengthens the Spleen
  • Dispels Dampness
  • Transforms Phlegm
  • Soothes the Liver
  • Extinguishes Wind
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Vertigo
  • Mental cloudiness
  • Heavy head
  • Heavy sensation in the body
  • Cough with Excess sputum
  • Chest and epigastric distention
  • Suffocating sensation in the chest and epigastrium
  • Nausea
  • Profuse sputum
  • Vomiting
  • Anorexia
  • Fatigue
  • Borborygmus
  • Tinnitus
  • Mouth glutinous
  • No thirst
  • Likes to sleep
  • Maybe palpitations
  • T: Thick
  • C: White and greasy or Sticky and white
  • P: Rolling or Wiry and slippery
Treatment Principle
  • Strengthen the Spleen
  • Harmonize the Stomach
  • Eliminate Dampness
  • Resolve Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Mild or severe tremors of the head and extremities
  • Sometimes the tremors can be stopped by conscious effort
  • Fullness and stiffness of the chest and epigastrium
  • A dry mouth
  • Dizziness
  • Vertigo
  • Sweating
  • Yellow Phlegm
  • A tendency toward obesity
  • T: Normal or Red
  • C: Greasy and yellow
  • P: Wiry, slippery and rapid
Treatment Principle
  • Clear Heat
  • Transform Phlegm
  • Extinguish Wind
Herb Formulas
  • Dao Tan Tang modified
  • With severe Phlegm, Heat and tremors: Cui Gan Wan
  • With Spleen Deficiency: Liu Jun Zi Tang  modified
  • Chinese Patent Medicines:
    An Gong Niu Huang Wan
    Wan Shi Niu Huang Qing Xin Wan

    Hu Po Bao Long Wan
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
  • T: Normal
  • C: Thick and slippery
  • P: Slippery, full and maybe wiry
Treatment Principle
  • Warm and Dissolve Tan Yin
Herb Formulas
Points
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
Points
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
Points
Clinical Manifestations
  • Paralysis
  • Numbness
  • Slurred speech
  • Deviated eyes
  • Deviated mouth (wry mouth)
  • Dizziness
  • Tinnitus
  • Sputum in the throat
  • Chest fullness and distention
  • Epigastric fullness and distention
  • Hypertension
  • Stroke
  • T: Deviated and trembling
  • C: Thick
  • P: Slippery and maybe wiry
Treatment Principle
  • Resolve Phlegm
  • Subdue Wind
Herb Formulas
Points
Clinical Manifestations
  • Tinnitus in both ears like the sound of cicadas
  • There may be a feeling of blockage or pressure in the ears
  • This condition often is long term with gradual loss of hearing
  • Maybe yellow, purulent discharge from one ear associated with an earache
  • Fullness and heaviness of the head
  • Foggy-headedness
  • Recurrent clearing of the throat
  • Cough with sticky, yellow, difficult to expectorate sputum
  • Rapid breathing with a harsh voice
  • Maybe restless fever
  • Sore throat
  • Fullness in the chest and epigastrium
  • Loose or sluggish stools or
  • Constipation
  • Dry stools
  • Shortness of breath
  • Anorexia
  • A poor sense of taste or
  • A bitter taste in the mouth
  • Dyspnea
  • Nausea
  • Vomiting
  • Pain in the ribs
  • T: Scarlet
  • C: Yellow or Yellow and greasy or Yellow and smooth
  • P: Rapid and smooth or Slippery and rapid or Wiry and slippery
Treatment Principle
  • Clear Heat
  • Resolve Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Chills
  • Chest fullness
  • Aversion to Cold
  • Stabbing pain in the bones and joints
  • Cough with sputum
  • Cough
  • Wheezing
  • Copious sputum
  • Chest distention
  • Anorexia
  • Indigestion
  • Hiccup
  • Shortness of breath
  • T: Pale
  • C: Thick, white
  • P: Sinking and slow
Treatment Principle
  • Warm Cold
  • Disperse Phlegm
Herb Formulas
Points