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TONGUE PAIN

WIND COLD

Clinical Manifestations	Tongue pain A red, swollen tongue Erosions on the tongue Sore, red, swollen throat Thirst with a desire to drink cold liquids 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 Alleviate tongue pain
Herb Formulas	Jing Fang Bai Du San modified
Points	DU-15, GB-20, LI-4, LU-7 , REN-23, SJ-5 With a red tongue and throat, and a burning sensation on the tongue: + LI-2, LI-11 With a high fever: + DU-14 With thirst and a dry throat and tongue: + LU-8, SP-6 With tongue pain and spasms due to Wind-Cold: + ST-6, ST-40 DU-16, GB-20, LI-4 + LU-7 or LI-4 + KI-7, LU-5, UB-12, UB-13

WIND-HEAT

Clinical Manifestations	Tongue pain A red, swollen tongue Erosions on the tongue Sore, red, swollen throat Thirst with a desire to drink cold liquids Runny or blocked nose with thick, yellow discharge Fever with perspiration Slight chills Aversion to Wind Headache Maybe dyspnea with flared nostrils Maybe chest pain T: Red C: Thin and yellow P: Superficial and rapid
Treatment Principle	Expel Wind Clear Heat Relieve tongue pain
Herb Formulas	Yin Qiao San Chinese Patent Medicine: Jing Fang Bai Du San
Points	DU-15, GB-20, LI-4, LU-7 , REN-23, SJ-5 With a red tongue and throat, and a burning sensation on the tongue: + LI-2, LI-11 With a high fever: + DU-14 With thirst and a dry throat and tongue: + LU-8, SP-6 With tongue pain and spasms due to Wind-Cold: + ST-6, ST-40 DU-14, DU-16, GB-20, LI-4 + LU-7 or LI-4 + SJ-5, LU-5, LU-10, LU-11, UB-12, UB-13

PERVERSE DRYNESS

Clinical Manifestations	Tongue pain A red, swollen tongue Erosions on the tongue Sore, red, swollen throat Thirst with a desire to drink cold liquids Dry cough with little or no sputum Sputum is difficult to expectorate Maybe hemoptysis Cough may cause chest pain Dry or sore throat Hoarse voice Dry lips and mouth Thirst Dryness in nose Epistaxis Chills and fever Headache Anhidrosis Dry skin and hair Constipation T: Red tip C: Thin, yellow and dry P: Superficial, maybe rapid
Treatment Principle	Clear the Lungs Moisten Dryness Alleviate tongue pain
Herb Formulas	Sang Xing Tang
Points	DU-15, GB-20, LI-4, LU-7 , REN-23, SJ-5 With a red tongue and throat, and a burning sensation on the tongue: + LI-2, LI-11 With a high fever: + DU-14 With thirst and a dry throat and tongue: + LU-8, SP-6 With tongue pain and spasms due to Wind-Cold: + ST-6, ST-40 KI-3, LU-1, LU-6, SP-6, UB-13

LUNG HEAT

Clinical Manifestations	Tongue pain, especially at the tip with a burning, pricking sensation and red spots A dry cough Yellow sputum Wheezing Fever Skin that feels hot to the touch Symptoms worse in the late afternoon Dry mouth Dry nose Epistaxis Thirst Little or difficult to expectorate sputum Burning pain in the chest and hypochondrium Hemoptysis A warm steaming sensation from the skin that is most prominent in the late afternoon Maybe constipation Impatience A dry, painful throat Hurried respiration leading to dyspnea Irritability Dyspnea Afternoon fever Anhidrosis Dizziness Conjunctival congestion Dry, bitter taste in the mouth Dry stools T: Red C: Yellow P: Superficial and rapid
Treatment Principle	Clear Heat Disperse Lung Qi
Herb Formulas	Xie Bai San Chinese Patent Medicine: Qing Fei Yi Huo Pian
Points	LI-4, LI-11, LU-5, LU-6, LU-10, REN-23 With epistaxis: + LI-20, LU-11 With a cough: + LU-1, UB-13 With expectoration of yellow Phlegm: + ST-40

LUNG YIN DEFICIENCY FIRE

Clinical Manifestations	Tongue pain which is worse at night Thirst Severe, dry hacking cough No sputum expectorated Small amounts of difficult to expectorate sputum Blood tinged sputum (when Yin Deficiency Fire is present) Sometimes epistaxis Afternoon fever Night sweats Malar flush (especially in afternoon) Five Sole Heat Dry mouth and throat Throat pain Chest pain Itching in throat Hoarse voice, low voice or loss of voice Emaciation Dry stools Restlessness T: Red tip C: None or Peeled P: Thready and rapid
Treatment Principle	Nourish Yin Moisten and cool the Lungs
Herb Formulas	Bai He Gu Jin Tang modified Chinese Patent Medicine: Liu Wei Di Huang Wan
Points	LU-5, LU-8. LU-10, REN-23, SP-6, UB-13 With epistaxis: + LU-6, LU-11 With chest pain: + PC-6, REN-17 With constipation: + LI-4 KI-3, KI-6, LU-1, LU-5, LU-6, LU-7, LU-9, LU-10, ST-36, UB-13, UB-17, UB-23, UB-43

DAMP ACCUMULATION IN THE SPLEEN

Clinical Manifestations	Tongue pain with numbness and swelling Ulcerations on the tongue No sense of taste Excessive salivation Anorexia Fatigue Abdominal pain with a Cold feeling Loose stools Somnolence T: Pale and swollen C: Greasy and white P: Slippery and weak
Treatment Principle	Activate the Spleen Resolve Dampness
Herb Formulas	Shen Ling Bai Zhu San Chinese Patent Medicine: Xiang Sha Liu Jun Zi Wan
Points	LI-4, LIV-3, REN-12, SP-6, SP-9, ST-36, ST-40 With nausea and vomiting: + PC-6 With a poor appetite: + ST-42 With loose stools or diarrhea: + SP-3

SPLEEN AND STOMACH EXCESS HEAT

Clinical Manifestations	Lip pain with redness and swelling Cracked lips Ulcerations on the lips or tongue Thirst with a preference for cold drinks Hungers easily Toothache Bad breath Constipation Stomach pain Maybe gum bleeding T: Red C: Yellow and dry P: Forceful and rapid
Treatment Principle	Clear Heat Reduce Fire Stop pain
Herb Formulas	Xie Huang San
Points

STOMACH FIRE

Clinical Manifestations	Whole tongue pain or Pain in the middle of the tongue Burning Heat and pain in the epigastrium Irritating thirst: drinks copious fluids and prefers cold drinks A dry mouth Abdominal pain Restlessness Excessive appetite: hungry again quickly after eating (as if food vanishes) Swelling, pain, ulceration and bleeding of gums Foul breath Toothache Maybe vomiting right after eating Vomiting acid or undigested food Constipation Maybe scanty, red urine T: Red C: Thick, yellow and dry P: Slippery, big, Excess and rapid
Treatment Principle	Clear and Purge Stomach Fire
Herb Formulas	Qing Wei San modified Chinese Patent Medicine: Wei Te Ling
Points	LI-4, LI-11, ST-40, ST-42, ST-44, ST-45 With Stomach pain: + REN-12, UB-21 With nausea and vomiting: + PC-6, SP-4 With constipation: + ST-25 LI-4, LI-11, PC-6, PC-8, ST-6, ST-34, ST-36, ST-43, ST-44, ST-45, UB-21

STOMACH YIN DEFICIENCY WITH FIRE RISING

Clinical Manifestations	Tongue pain which is worse at night Thirst A dry mouth Night sweats Five-Sole-Heat A burning sensation in the Stomach No appetite or Famished but with no desire to eat Maybe gum bleeding Abdominal distention after meals Dry stools Irritability with low grade fever Maybe dry retching or Hiccups T: Red C: Thick or Peeled in the middle P: Deep, thready and rapid
Treatment Principle	Nourish Yin Nourish the Stomach Reduce Stomach fire
Herb Formulas	Yu Nu Jian modified Chinese Patent Medicine: Wei Te Ling
Points	SP-6, ST-36, ST-40, ST-42, ST-44, ST-45 With epigastric pain: + ST-34 With a poor appetite: + REN-12, UB-21 With constipation: + ST-37 With nausea or vomiting: + PC-6, SP-4 KI-3, REN-12, SP-6, ST-36, UB-21

HEART FIRE

Clinical Manifestations	Tongue pain, especially on the tip with a burning, pricking sensation and red spots Ulceration, erosion, and pain of mouth and tongue Thirst with a desire for cold drinks Restlessness Irritability Irascibility Feeling of Heat and disturbance in the Heart Insomnia Flushed face Bitter taste in the mouth Deep yellow urine Painful urination T: Red or Red tip with ulcers especially on the tip C: Yellow P: Excess and rapid or Wiry and rapid
Treatment Principle	Clear Heat Purge Fire Calm the Shen
Herb Formulas	Dao Chi San modified Chinese Patent Medicine: Dao Chi Pian
Points	HT-3, HT-6, HT-7, HT-8, PC-8, SI-2, SI-4 With insomnia and restlessness: + DU-20 With painful urination: + SI-8, ST-39 With constipation: + LI-4, ST-25 HT-7, HT-8, PC-7, PC-8, UB-15

HEART YIN DEFICIENCY WITH FIRE RISING

Clinical Manifestations	Tongue pain Pain worse at night Palpitations Irritability Easily startled Insomnia Much dreaming Poor memory Low grade fever Night sweats Five Sole Heat Restlessness Dry mouth Thirst Dry throat Dry stools Malar flush T: Red and +dry C: Peeled P: Deep, thready and rapid
Treatment Principle	Nourish Yin Clear Deficient Heat Reinforce the Heart Calm the Shen
Herb Formulas	Huang Lian E Jiao Tang modified Chinese Patent Medicine: Tian Wang Bu Xin Dan
Points	HT-3, HT-4, PC-3, PC-5, SP-6, UB-15 With palpitations and insomnia: + Anmian, Sishencong With night sweats: + HT-6 With ulcerations of the tongue: + HT-8 HT-5, HT-6, HT-7, PC-5, PC-6, PC-7, REN-14, SP-6, UB-15

LIVER FIRE

Clinical Manifestations	Tongue pain, especially on the edges Severe, splitting headaches with dizziness Sudden tinnitus or Sudden deafness Flushed face Red, swollen, painful eyes Irritability Nervousness 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 modified Chinese Patent Medicine: Long Dan Xie Gan Wan
Points	GB-40, GB-41, GB-43, LI-4, LIV-2, LIV-8 With red, painful, burning eyes: + GB-34, Taiyang With a headache or nervousness: + DU-20 With dizziness: + GB-20 GB-12, GB-34, GB-37, LIV-2, UB-18, UB-19

LIVER YIN DEFICIENCY WITH YANG RISING

Clinical Manifestations	Tongue pain which is worse at night Dizziness Impaired vision Night blindness Tinnitus Irritability Irascibility Throbbing headache with distended feeling Hypochondriac pain Tiredness Flushed face Blurred vision Red, dry eyes with feeling of grit in eye Dry mouth and throat with bitter taste in mouth Palpitations Headache Nervousness Insomnia with much dreaming Thirst Five Sole Heat (palms, soles and center of chest) Night sweats Light or late menses or Amenorrhea Dry stools T: Red C: Peeled P: Deep, thready, weak and wiry
Treatment Principle	Nourish Yin Pacify the Liver Subdue Yang
Herb Formulas	Yi Guan Jian modified Chinese Patent Medicine: Qi Ju Di Huang Wan
Points	KI-3, LIV-2, LIV-3, LIV-5, LIV-8, SP-6 With a headache: + GB-20 With nervousness: + DU-20 With a feeling of oppression over the chest: + PC-6, REN-17 With abdominal pain and diarrhea: + LIV-13, ST-25 With a insomnia: + HT-8 DU-20, GB-20, GB-34, GB-43, KI-3, LIV-2, LIV-3, UB-18, UB-23

KIDNEY YIN DEFICIENCY WITH FIRE RISING

Clinical Manifestations	Tongue pain which is worse at night 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 Hair loss tiredness Dry stools and/or Constipation Urine short and red Heightened libido T: Red C: Little or None or Peeled P: Thready and rapid
Treatment Principle	Nourish Yin Subdue Fire
Herb Formulas	Zhi Bai Di Huang Wan modified Chinese Patent Medicine: Zhi Bai Di Huang Wan
Points	KI-2, KI-3, KI-7, KI-10, SP-6 With lower back pain: + UB-23, UB-58 With nocturia: + KI-6 With general tiredness: + REN-4, REN-6 With insomnia or dream-disturbed sleep: + HT-3, HT-8 KI-1, KI-2, KI-3, KI-6, KI-9, KI-10, REN-4, SP-6, UB-23

QI AND BLOOD STAGNATION

Clinical Manifestations	A sore, stabbing pain on the tongue The pain may relate to emotional situations The pain is worse at night Maybe numbness of the tongue T: Purplish C: Thin P: Wiry and choppy
Treatment Principle	Circulate Qi Invigorate the Blood Alleviate pain
Herb Formulas	Tao Hong Si Wu Tang + Shi Xiao San modified Chinese Patent Medicine: Xiao Huo Luo Dan
Points	HT-3, HT-5, HT-6, HT-7, LI-4, LIV-3, SP-6, SP-10 With palpitations, pressure over the chest or Heart pain: + PC-4, UB-14, UB-15 With pain and spasms of the facial muscles: + ST-5, ST-6 With stabbing pain in the body: + SP-21, UB-17

PHLEGM-FIRE

Clinical Manifestations	Tongue pain over the whole body of the tongue Swelling and sometimes numbness of the tongue Nausea A poor appetite T: Purplish C: Greasy P: Slippery
Treatment Principle	Clear Fire Resolve Phlegm
Herb Formulas	Gun Tan Wan modified Chinese Patent Medicine: Meng Shi Gun Tan Wan
Points	HT-3, HT-5, HT-8, LI-4, SP-9, ST-40, ST-44 With restless and insomnia: + HT-7, PC-6 With a bitter taste in the mouth, dizziness, nausea and an uncomfortable feeling in the hypochondrium: + GB-20, GB-40, GB-41 With nausea, a poor appetite and epigastric distention: + REN-12, SP-4