ULCERATIVE COLITIS

GENERAL

Clinical Manifestations	Passage of watery stool and pus Abdominal pain or tenderness Colic Intermittent or irregular fever May be hemorrhage May be perforation
Treatment Principle
Herb Formulas	Acute: Chai Hu Gui Zhi Tang Chronic: Bu Zhong Yi Qi Tang Colitis #1 Colitis #2
Points	ST-25, ST-37, UB-25 KI-2, KI-5, KI-7, KI-14, LI-11, LIV-2, LIV-8, LIV-11, LU-9, REN-4, REN-9, REN-12, SP-1, SP-3, SP-4, SP-9, SP-14, ST-25, ST-27, ST-36, ST-44, UB-23, UB-35, UB-40, UB-65 LI-4, LI-10, ST-25, ST-36, ST-37, ST-44, UB-22, UB-24, UB-25, UB-27 Chronic: REN-6, REN-12, ST-25, ST-28, ST-36, UB-23, UB-24, UB-25 Spastic: REN-6, ST-25, ST-27, ST-28, ST-37, UB-24, UB-25, UB-31

TAI YANG - TAI YIN

Clinical Manifestations	Fever Chills Headache Joint pains Severe diarrhea Epigastric distention Perspiration Cold body and extremities Weakness of the extremities Upper abdominal palpitations Cold feet Dysuria T: Pale or pink C: White P: Slow and tight or Soft
Treatment Principle	Release the Exterior Warm the Interior Tonify Qi Relieves distention
Herb Formulas	Gui Zhi Ren Shen Tang
Points	General points

SHAO YANG WITH CONGESTED FLUIDS

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	Chai Ling Tang
Points	GB-41, SJ-5, moxa or moxa needle REN-4, REN-6, REN-8, REN-12, SJ-6, ST-25, ST-36

TAI YIN EXCESS

Clinical Manifestations	Chronic colitis Nausea Clear, frequent urination Lack of thirst Anorexia Vomiting of clear fluid Abdominal distension and pain (sharp) Diarrhea or loose stool Prefers warmth T: Pale or pink C: White P: Slow and tight or Soft
Treatment Principle	Regulate the middle Warm the Middle Jiao Disperse Cold Relieve pain
Herb Formulas	Gui Zhi Jia Shao Yao Tang Li Zhong Tang With Excess Cold: Fu Zi Li Zhong Tang With a need to purge: Fu Gui Li Zhong Tang
Points	For pain and Cold: moxa the abdomen To strengthen the Spleen and Stomach: LIV-13, REN-10, ST-36, UB-20, UB-21 (moxa if severe) For abdominal pain and nausea: PC-6, SP-4, ST-25 For frequent, clear urination: moxa REN-4, REN-6, UB-23 For diarrhea: moxa REN-8 Use few needles with deep insertion and moxa

TAI YIN DEFICIENCY

Clinical Manifestations	Clear, frequent urination Abdominal distension Anorexia Nausea Vomiting clear fluid Dull abdominal pain Diarrhea or loose stools Prefers warmth and pressure T: Pale C: White P: Slow and sinking or Soft and weak
Treatment Principle	Regulate the Middle Warm the Middle Jiao Disperse Cold
Herb Formulas	Li Zhong Tang With Excess Cold: Fu Zi Li Zhong Tang With a need to purge: Fu Gui Li Zhong Tang
Points	For pain and Cold: moxa the abdomen To strengthen the Spleen and Stomach: LIV-13, REN-10, ST-36, UB-20, UB-21 (moxa if severe) For abdominal pain and nausea: PC-6, SP-4, ST-25 For frequent, clear urination: moxa REN-4, REN-6, UB-23 For diarrhea: moxa REN-8 Use few needles with deep insertion and moxa

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	Tong Xie Yao Fang Tiao Wei Cheng Qi Tang Xiao Cheng Qi Tang
Points	LI-11, SJ-6, ST-25, ST-37, ST-44

LARGE INTESTINE DAMP-HEAT

Clinical Manifestations	Diarrhea with tenesmus which intensifies after defecation Frequent stools which are small in quantity Stools are yellow or brown, thin, watery, with foul smell or sticky and pasty like jam or sticky fluid or containing pus and Blood Burning hot sensation in anus Abdominal pain Urine short and red Sustained fever despite profuse perspiration or Raging fever in the afternoon Belching A bitter taste in the mouth Flatulence Heartburn Maybe nausea and vomiting Sacral pain Dry, itchy eyes Maybe weakness Maybe dizziness Mouth dry but no desire to drink Body heavy Limbs tired Fullness in chest Lump in epigastrium Anorexia Yellow urine Severe cases: High fever and coma T: Red or Pale with red edges C: Yellow and greasy P: Slippery and rapid or Rapid and deep or Thin and soggy
Treatment Principle	Clear Heat Transform Dampness Regulate Qi Harmonize the Blood Stop dysentery
Herb Formulas	Shao Yao Tang Bai Tou Weng Tang Ulcerative Colitis #1 Huai Hua San Zhu Ling Tang Zi Sheng Wan
Points	LI-4, LI-11, SP-9, ST-25, ST-37, ST-44, UB-25 DU-20, LI-4, REN-12, SP-6, SP-9, ST-25, ST-36, ST-37, UB-25 To stop bleeding: 1. moxa SP-1, needle REN-6, SP-9, ST-25, ST-36, UB-17, UB-20, UB-24 2. Moxa needle REN-6, UB-24 LI-4, SP-6, SP-9, ST-37, ST-39 For fever: + LI-11

INTESTINAL WIND (WIND-HEAT IN THE STOMACH AND INTESTINES)

Clinical Manifestations	Bleeding of fresh Blood from the bowel which often precedes the bowel movement The bleeding may follow the passage of stool The bleeding may be alarmingly copious Abdominal pain or Absence of pain, itching, swelling or distention or A burning sensation in the rectum and anus Dry mouth Tendency toward constipation Dry or difficult stools T: Red C: Yellow P: Slippery and rapid or Thready and rapid
Treatment Principle	Clear Heat from the Intestines Cool the Blood Stop bleeding
Herb Formulas	Huai Hua San modified
Points	Ahshi points, DU-1, Erbai, SP-1, ST-25, ST-37, UB-30, UB-32, UB-57 With pain in the rectum or lower Intestine: + UB-2, UB-52 With severe bleeding: + PC-4, SP-10 Ear: 1. Large Intestine, Small Intestine, Distal Segment Rectum, Subcortex, Shenmen 2. Hemorrhoids, Large Intestine, Distal Segment Rectum, Shenmen

LARGE INTESTINE DEFICIENCY WITH SLIPPERY PROLAPSE

Clinical Manifestations	Chronic dysentery or Chronic diarrhea or Rectal prolapse Dull abdominal pain with liking for warmth and pressure Borborygmus Cold limbs Poor appetite Mental fatigue T: Pale C: White P: Minute, thready and forceless
Treatment Principle	Benefit the Intestines Consolidate and astringe
Herb Formulas	Zhen Ren Yang Zang Tang
Points	Chronic diarrhea: 1. LIV-13, REN-12, ST-25, ST-36, UB-20 2. LIV-13, REN-12, SP-3, UB-20 Chronic dysentery: 1. LI-4, ST-25, ST-37, UB-20, UB-21 Kidney Yang Deficiency: 1. REN-4, UB-23 2. REN-12, ST-36, UB-20, UB-21 Rectal prolapse: 1. DU-1, DU-20, UB-25 2. DU-1, DU-20, UB-30, UB-57

SPLEEN AND STOMACH QI DEFICIENCY

Clinical Manifestations	Occasional loose stools or diarrhea A long disease course Recurrent relapses Mucus in the stool Occasional hemafecia Slight abdominal pain Increased bowel movements due to eating oily, greasy food Undigested food in the stools Fatigue Weakness Poor appetite Abdominal distention after eating A pale, possibly sallow, facial complexion If severe, s prolapsed rectum T: Pale C: White P: Moderate, thready and weak
Treatment Principle	Tonify the Spleen Boost Qi Harmonize the Middle Transform Dampness
Herb Formulas	Si Jun Zi Tang Shen Ling Bai Zhu San modified For severe Qi Deficiency with Dampness predominant: Bu Zhong Yi Qi Tang modified
Points	Moxa REN-8, needle SP-9, ST-25, ST-36 With hemafecia: - ST-25, ST-36 + SP-6, UB-17, UB-20 With severe bleeding: + SP-1 With undigested food in the stool: + REN-21 , ST-21 With lower abdominal pain or distention: + REN-6 With severe Qi Deficiency: + SP-3 With Blood Deficiency: + SP-6, UB-17

SPLEEN QI DEFICIENCY: SPLEEN NOT GOVERNING BLOOD

Clinical Manifestations	Sallow or pale complexion Anorexia Four limbs feel tired and heavy Physical and mental exhaustion Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose or unformed stools Shortness of breath Dizziness Palpitations Functional Uterine Bleeding Purpura Epistaxis Hemafecia Hematuria Menorrhagia Metrorrhagia T: Pale and flabby - may have teethmarks C: White P: Thready and weak
Treatment Principle	Benefit Qi Conserve Blood
Herb Formulas	Bu Zhong Yi Qi Tang modified Dang Gui Bu Xue Tang Gui Pi Tang + Jiao Ai Tang
Points	SP-1, SP-3, ST-36, UB-20 For Deficiency type uterine bleeding: DU-20, LI-11, REN-4, SP-4, SP-10, SP-14, UB-17

SPLEEN YANG DEFICIENCY

Clinical Manifestations	Chronic loose stools or diarrhea which may contain undigested food The stools may be urgent Early morning diarrhea Dark, purplish or pale Blood preceding, following or Black, tarry or Blood-streaked loose stools (the bleeding may also be occult) Dull, persistent abdominal or epigastric cold-pain which improves with warmth and pressure Sallow complexion Anorexia (maybe with vomiting) Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Intolerance to Cold Shortness of breath Cold abdomen Cold limbs Feeling chilled Frequent, clear urination Mental fatigue Weakness Exhaustion Maybe scanty urine with edema Maybe clear, watery vaginal discharge T: Pale, wet and swollen with toothmarks C: Thin and white
Treatment Principle	Warm the Center Dispel Cold
Herb Formulas	Li Zhong Tang With relatively severe bleeding: Huang Tu Tang modified With relatively mild bleeding: Fu Zi Li Zhong Wan modified With Dampness in the Lower Jiao and Dryness in the Upper Jiao: Lian Li Tang With Cold Accumulation in the Intestines: Wen Pi Tang
Points	Moxa LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20 Moxa or moxa needle DU-20, REN-6, REN-12, SP-1, SP-6, ST-25, ST-36, UB-20, UB-25, needle SP-4 With Kidney Yang Deficiency: + moxa or moxa needle REN-4, UB-23 Moxa box REN-8 Moxa LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20 Ear: Spleen, Stomach, Large Intestine, Small Intestine, Adrenal, Subcortex, Shenmen

SPLEEN AND STOMACH DEFICIENCY COLD

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	Li Zhong Tang Zhen Ren Yang Zang Tang Tao Hua Tang Wu Zhu Yu Tang
Points	Moxa or moxa needle LIV-13, REN-12, SP-3, SP-6, ST-36, UB-20, UB-21

SPLEEN AND KIDNEY YANG DEFICIENCY

Clinical Manifestations	Repeated occurrences of diarrhea over a long period of time Early morning diarrhea Very thin, loose stools Fecal incontinence if severe Occasional dark, purplish Blood and mucus in the stool A somber, white facial complexion Lower back and knee coldness and pain. Cold extremities Aversion to Cold Fatigue Weakness Lassitude Mostly seen in the elderly A poor appetite T: Pale and thick C: White P: Deep and thready
Treatment Principle	Warm and tonify the Kidneys and Spleen Astringe and stop diarrhea
Herb Formulas	Fu Zi Li Zhong Wan modified Si Shen Wan Enema: Retention Enema #2 With Internal Cold: Yang He Tang
Points	Moxa DU-4, REN-8, needle or moxa needle ST-25, ST-36 For Blood in the stools: - ST-36 + SP-6, UB-17, UB-20 For severe bleeding: + moxa SP-1 For pus in the stools: - ST-36, + SP-9, ST-37, ST-44 For mucus in the stools: + SP-9, ST-40 For undigested food in the stools: + REN-21 , ST-21 For lower abdominal pain: + REN-6 For severe Qi Deficiency: + SP-3 For Blood Deficiency: + SP-6, UB-17

DAMPNESS OBSTRUCTS THE STOMACH AND INTESTINES

Clinical Manifestations	Watery diarrhea with or without foamy mucus Abdominal distention Borborygmus Possible palpitations Possible shortness of breath Sloshing water in the abdomen when jiggled or palpated Scanty urination T: Pale C: Glossy and white P: Soft and slippery
Treatment Principle	Warm the Middle Resolve Dampness
Herb Formulas	Ling Gui Zhu Gan Tang modified
Points	SP-9, ST-25, ST-36, ST-40 For severe bleeding: + moxa SP-1 For pus in the stools: - ST-25, ST-36, + ST-37, ST-44 For undigested food in the stools: + REN-21, ST-21 For lower abdominal pain: + REN-6 For severe Qi Deficiency: + SP-3 For Blood Deficiency: + SP-6, UB-17 With hemafecia: - ST-25, ST-36 + SP-6, UB-17, UB-20 With undigested food in the stool: + REN-12, ST-21 With lower abdominal pain or distention: + REN-6

DISHARMONY BETWEEN THE STOMACH AND INTESTINES WITH COLD AND HEAT FACTORS

Clinical Manifestations	Epigastric focal distention Fullness and tightness with very slight or no pain Dry heaves Vomiting Borborygmus Diarrhea Anorexia Stomach pain Abdominal pain Subcardiac distention Heartburn Resistance below the Heart Soft epigastrium Nausea Ascites Gurgling sounds T: Normal or with a red tip C: Thin, yellow and greasy P: Wiry and rapid or Wiry, tight and rapid
Treatment Principle	Harmonize the Stomach and Intestines Descend Rebellious Qi Disperse clumping Eliminate focal distention due to Cold and Heat factors
Herb Formulas	Ban Xia Xie Xin Tang
Points	General points

LIVER QI STAGNATION INVADES THE SPLEEN

Clinical Manifestations	Recurrent diarrhea which may be preceded by cramping abdominal pain The pain is relieved by defecation Diarrhea may alternate with constipation The diarrhea may be explosive and initiated by stress or tension or eating There may be mucus or Blood in the stool Abdominal distention Flatulence or belching may relieve the abdominal discomfort Gas Borborygmus Anorexia Nausea Heartburn Indigestion Distention and pain in the sides or flanks Hypochondriac ache, discomfort or tightness, usually worse on the right side Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Moodiness Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses Shoulder and neck tension Temporal or tension headaches T: Darkish pink or Pale or Slightly red edges C: White and greasy P: Wiry or Slippery and wiry
Treatment Principle	Soothe the Liver Invigorate the Spleen Alleviate pain Stop diarrhea
Herb Formulas	Shao Yao Gan Cao Tang With costal or abdominal pain and menstrual complaints: Si Ni San With pain and urgent diarrhea: Tong Xie Yao Fang modified
Points	LIV-3, LIV-13, SP-6, ST-25, ST-36, ST-37 LIV-2, REN-12, ST-25, ST-37, UB-18, UB-20, UB-26 LI-4, LIV-3, LIV-13, PC-6, REN-12, ST-25, ST-36, UB-18, UB-25, Yintang + Ahshi points along the Stomach channel With significant Spleen Deficiency: + UB-20, UB-21 With signs of Heat: + LIV-2 With insomnia, a lateral headache or extreme nervousness: + DU-24, GB-39, SJ-5 Ear: Shenmen, Liver, Stomach, Spleen, Large Intestine, Subcortex, Sympathetic

LIVER QI STAGNATION WITH SPLEEN QI DEFICIENCY AND DAMPNESS OBSTRUCTION

Clinical Manifestations	Episodes of diarrhea brought about by worry, anxiety, frustration or anger Diarrhea most often accompanied by abdominal pain which subsides after passing stools Possible mucus or pus in the stools Possible, flank, chest or breast distention and pain Irritability Sighing Burping or belching Irregular menstruation Poor appetite Fatigue Cold hands and feet A pale or sallow facial complexion T: Thick and pale but dark C: White P: Thready and wiry
Treatment Principle	Regulate the Liver Resolve depression Strengthen the Spleen Overcome Dampness
Herb Formulas	Xiao Yao San modified For Liver/Spleen Disharmony with Yang Deficiency and Damp-Heat: Wu Mei Wan modified
Points	LIV-3, PC-6, SP-4, ST-25, ST-36 For severe emotional tension, anxiety, a tendency to worry, frustration or anger: + DU-24, Sishencong For symptoms of Cold: + Moxa REN-8, moxa or moxa needle ST-25, ST-36 For symptoms of Heat: + LI-4, ST-44 For severe Spleen Qi Deficiency: + REN-21, ST-21 For Kidney Qi or Yang Deficiency: + moxa or moxa needle DU-4 For Yin Deficiency: + KI-7 For Liver Qi Stagnation transforming into Heat: - LIV-3, PC-6 + GB-34, LIV-2 For hemafecia: - ST-25 + SP-6

QI AND YIN DEFICIENCY

Clinical Manifestations	Enduring diarrhea, bleeding or damaged yin due to corticosteroids Yellow, watery diarrhea Bright red Blood Lassitude Fatigue Weakness Possibly shortness of breath Vexation and agitation Short, scanty urination Dry skin Dry mouth Red lips Malar flush Five-Sole-Heat T: Crimson and dry C: Little or None P: Thready and rapid
Treatment Principle	Clear Heat Nourish Yin Tonify Qi
Herb Formulas	Lian Mei Tang Jia Wei
Points	KI-7, SP-6, SP-9, ST-25, ST-36 For night sweats: + HT-6 For severe Yin Deficiency: + UB-21, UB-23 For severe hemafecia: - ST-25, ST-36 + UB-17, UB-20 For undigested food in the stools: + REN-21, ST-21 For severe Qi Deficiency: + SP-3

BLOOD STAGNATION

Clinical Manifestations	Right sided lower abdominal aching and pain or Fixed pain Palpable lumps in the lower abdomen Purple-black blood clots expelled with the stool T: Dark, purplish or Static spots C: White P: Deep, wiry and choppy
Treatment Principle	Invigorate the Blood Resolve Stasis Circulate Qi Stop pain
Herb Formulas	Shao Fu Zhu Yu Tang modified
Points	SP-6, ST-36, UB-17, UB-20, UB-25 For severe bleeding: + moxa SP-1

INTERNAL COLD

Clinical Manifestations	Abdominal pain Constipation Hypochondriac pain Chills Low-grade fever Cold hands and feet Intolerance of Cold Pain in the armpits Unilateral pain in the abdomen and hypochondrium Stiffness and spasms beside and below the umbilicus Pain in the waist and legs T: Normal C: Greasy and white P: Deep, tight and wiry
Treatment Principle	Warm the Interior Disperse Cold Unblock the bowels Alleviate pain
Herb Formulas	Da Huang Fu Zi Tang
Points

DAMP-HEAT WITH LIVER AND SPLEEN DISHARMONY

Clinical Manifestations	Diarrhea and /or dysentery A swollen, distended, firm abdomen Epigastric and abdominal pain and distention that is worse with pressure Feverishness Flushing A bitter taste in the mouth Thirst or a dry mouth with with little desire to drink Scanty, concentrated urine Constipation and/or Diarrhea Maybe jaundice 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 or Red tip and edges C: White and greasy or Greasy and yellow or Grayish black P: Slippery and wiry or Wiry and rapid
Treatment Principle	Clear Heat Dispel Dampness Soothe the Liver Invigorate the Spleen
Herb Formulas	San Shen San Bai Tang With Blood Deficiency, Blood Stasis and damaged Fluids: Li Chang Tang
Points

DAMP-HEAT IN THE LOWER JIAO

Clinical Manifestations	Fever Abdominal pain Diarrhea A burning sensation in the anus or Tenesmus A bloody, purulent mucoid stool T: Red C: Thick yellow and greasy P: Slippery and Rapid
Treatment Principle	Clear Heat Remove Dampness
Herb Formulas	Ge Gen Huang Qin Huang Lian Tang modified
Points

TOXIC HEAT

Clinical Manifestations	Diarrhea or dysentery Local inflammation with pus Deep-rooted, hard and painful boils Erythema Swelling Heat Carbuncles Furuncles Fever and chills Pain T: Red C: Yellow and greasy P: Rapid
Treatment Principle	Clear Heat Purge Fire Relieve toxicity Cool the Blood
Herb Formulas	Wu Wei Xiao Du Yin Xian Fang Huo Ming Yin Zhen Ren Huo Ming Yin
Points

LONG-TERM MIDDLE JIAO QI DEFICIENCY

Clinical Manifestations	Pterygium Tinnitus Hearing loss Diminished visual and aural acuity Blurred vision Abdominal pain Dizziness Light headedness Anorexia Spontaneous sweating Chronic diarrhea
Treatment Principle	Strengthens and raises the Qi of the Middle Jiao Improves visual and aural acuity Stop vertigo
Herb Formulas	Yi Qi Cong Ming Tang
Points	General points

LOWER JIAO BLOOD STAGNATION WITH HEAT

Clinical Manifestations	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 Reduce swelling
Herb Formulas	Da Huang Mu Dan Tang Tao He Cheng Qi Tang
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