VAGINAL DISCHARGE (LEUKORRHEA)

Clinical Manifestations
  • White:
    Cold
    Damp
    Deficiency
  • Yellow: Heat
  • Red: Blood
Treatment Principle
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
  • Fever and chills, fever more pronounced or
  • Tidal fever
  • Abdominal distention
  • Thirst
  • Sweat
  • Stifling sensation in the chest
  • Restlessness
  • Gastric disturbances:
    Heaviness
    Nausea
    Severe diarrhea
  • Scanty urine
  • T: Red tip and edges
  • C: Greasy white or yellow
  • P: Rapid and soft
Treatment Principle
  • Disperse Wind
  • Clear Heat
  • Resolve Damp
Herb Formulas
Points
Clinical Manifestations
  • Bones and joints sore and painful
  • Worse with movement
  • Face is dull yellow
  • Spasms or contractures of muscles and sinews
  • Palpitations
  • Asthenia
  • Shortness of breath
  • Spontaneous sweating
  • Weight loss
  • Poor appetite
  • Diarrhea
  • T: Pale
  • C: None or White
  • P: Soggy and Weak or Thin and faint
Treatment Principle
  • Harmonize and Tonify Qi and Blood
  • Expel Wind-Cold Dampness
  • Disperse Internal Dampness
Herb Formulas
Points
Clinical Manifestations
  • Generalized body aches and pains
  • Irritability
  • Heavy sensation in the shoulder and back
  • Discomfort or a constricted sensation in the area of the chest and diaphragm
  • Multiple sores, carbuncles furuncles or abscesses
  • Redness
  • Itching
  • Persistent swelling
  • Chest pain
  • Fever
  • Thirst
  • Aching and painful extremities
  • Aching and painful joints
  • Unbearable swelling and pain of the lower extremities
  • Shoulder stiffness
  • T: Normal
  • C: Greasy and slightly yellow
  • P: Wiry and rapid or Soft and moderate or Soft, superficial and slow or Slippery and rapid or Deep and tight
Treatment Principle
  • Resolve Dampness
  • Clear Heat
  • Disperse Wind
Herb Formulas
Points
Clinical Manifestations
  • Protracted, incessant cough
  • Expectoration of copious, clear, watery or white Phlegm
  • Short, weak, breathing
  • Asthma
  • Four limbs tired
  • Anorexia
  • General lassitude
  • Distention and pain of the epigastrium and abdomen
  • Loose stools
  • Leukorrhea
  • Severe cases:
    Frightens easily
  • T: Pale
  • C: White
  • P: Thready and weak
Treatment Principle
  • Reinforce the Spleen
  • Benefit the Lungs
  • Warm and transform Phlegm-Dampness
Herb Formulas
Points
Clinical Manifestations
  • Shortness of breath (difficult to inhale)
  • Dyspnea exacerbated by exertion
  • Asthma (inhalation difficult)
  • Soft, weak voice
  • Spontaneous perspiration
  • Aversion to Wind
  • Emaciated body
  • Exhausted Shen
  • Dispirited
  • Limbs cold
  • Face blue-green-colored
  • Maybe superficial edema of limbs and body
  • Maybe dysuria
  • Maybe stress incontinence on coughing
  • T: Pale, moist and swollen
  • C: White
  • P: Deep and thready or Weak
Treatment Principle
  • Nourish the Lungs
  • Soothe asthma
  • Reinforce the Kidneys to Grasp Qi
Herb Formulas
Points
Clinical Manifestations
  • Copious white vaginal discharge
  • The discharge is like saliva or mucus
  • Usually occurs in middle age
  • Severe: Foul smelling
  • 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 cold limbs
  • Fear of Cold or feeling chilled
  • T: Pink
  • C: Thick, white and greasy or sticky
  • P: Deep and slow or Slow and slippery
Treatment Principle
  • Warm Cold
  • Transform Dampness
  • Harmonize the Stomach
  • Strengthen the Spleen
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
  • 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
  • Yellow vaginal discharge
  • T: Pink
  • C: Thick, yellow and greasy (maybe sticky)
  • P: Soft and rapid
Treatment Principle
  • Clear Heat
  • Benefit Dampness
Herb Formulas
Points
Clinical Manifestations
  • The discharge is copious and persistent
  • Less repulsive or no odor
  • The color is white or pale yellow
  • The texture is viscid
  • Lustrous white or sallow complexion
  • Cold limbs
  • Weak limbs
  • Fatigue
  • Somnolence
  • Lassitude
  • Dizziness
  • Anorexi
  • Abdominal distention
  • Loose stools
  • Edema in the feet
  • Clear, abundant urination
  • T: Pale
  • C: White or Greasy white
  • P: Even and Feeble
Treatment Principle
  • Tonify Spleen Qi
  • Remove Dampness
  • Raise Yang
Herb Formulas
Points
Clinical Manifestations
  • Profuse vaginal discharge that is white or pale-yellow
  • The discharge is thin in consistency, not foul smelling and usually continuous
  • Fatigue
  • Lethargy
  • A shiny, pale complexion
  • Loose stools
  • Diarrhea
  • T: Pale
  • C: White
  • P: Soggy and frail or Moderate or Slow or Soft and floating
Treatment Principle
  • Tonify the Spleen
  • Disperse Liver Qi Stagnation
  • Transform Dampness
  • Stop vaginal discharge
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
  • Late menstruation
  • Scanty, light red Blood or
  • Heavy non-stop bleeding
  • Dull pain in the lower abdomen
  • Pain alleviated by warmth
  • Lower back pain
  • Pale face
  • Cold limbs
  • Leg pain
  • White vaginal discharge
  • T: Pale
  • C: Thin and white
  • P: Deep and thready or Deep and weak
Treatment Principle
  • Warm the channels
  • Disperse Cold
  • Regulate Qi
  • Pacify the Stomach
Herb Formulas
Points
Clinical Manifestations
  • Yellowish vaginal discharge
  • Looks like pus, a rotten melon or strong tea
  • Repulsive odor
  • Swelling, pain, clots or burning Heat in the vagina
  • Difficult, painful or scant urination
  • T: Red
  • C: Yellow and sticky
  • P: Wiry and rapid or Slippery and rapid
Treatment Principle
  • Tonify the Spleen
  • Eliminate Dampness
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • Milky, turbid spermatorrhea
  • Listlessness
  • Fatigue
  • A shiny, white complexion
  • Anorexia or
  • Increased food intake
  • Restlessness
  • Vaginal discharge
  • Diarrhea
  • Dryness of the external ears
  • Dizziness
  • Enuresis
  • Copious urination
  • Thirst
  • Premature ejaculation
  • Lumbago
  • T: Pale
  • C: White
  • P: Deep and frail
Treatment Principle
  • Tonify the Kidneys
  • Stabilize Jing
  • Stop leakage
  • Strengthen the Spleen
  • Drain Dampness
  • Benefit the Heart
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Continuous cramping pain in the abdomen
  • Pain is not severe
  • Pain is relieved by pressure
  • Edema of the feet
  • Urinary difficulty
  • Slight edema (primarily of the lower limbs)
  • Symptoms generally occur during pregnancy
  • Pale face
  • Fatigue
  • Heaviness of head
  • Lassitude
  • Lower abdominal pain
  • Dizziness
  • Tinnitus
  • Lumbago
  • Edema
  • Abdominal pain with edema during pregnancy due to Blood Deficiency and abnormal water circulation
  • Oliguria
  • Palpitations
  • Cold feet
  • Extreme coldness of the hands and feet
  • Vertigo
  • Weakness and numbness of lower back and legs during pregnancy or postpartum
  • Mal position of the fetus
  • Dysmenorrhea
  • Irregular menstruation
  • Right upper quadrant pain
  • Hepatomegaly
  • Anemia
  • Lack of energy
  • Sore back
  • Thirst with no desire to drink
  • T: Pale or pink maybe petechiae on margin
  • C: Thin or Greasy white
  • P: Deep and weak or Soft, floating, small and slow or Wiry and small or Wiry and rough
Treatment Principle
  • Strengthen the Spleen and Kidneys
  • Resolve Dampness
Herb Formulas
Points
Clinical Manifestations
  • Restlessness
  • Irritability
  • Thirst
  • Nocturnal emission
  • Insomnia
  • Dream disturbed sleep
  • Lack of spirit
  • Fatigue
  • Low back pain
  • Tinnitus
  • Dysuria
  • Depression
  • Turbid urine
  • Abnormal uterine bleeding
  • Polyuria
  • Enuresis
  • Seminal emission
  • Leukorrhea
  • Blood tinged leukorrhea
  • Anorexia
  • Dry mouth
  • Dry Tongue
  • Five Sole Heat
  • Fever
  • Physical and mental overexertion
  • T: Red
  • C: Little or None
  • P: Deep and rapid
Treatment Principle
  • Clear Heart Fire
  • Disperse Damp-Heat
  • Benefit Qi and Yin
  • Promote urination
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Insomnia
  • Much dreaming
  • Easily startled
  • Poor memory
  • Four limbs tired and lethargic
  • Loss of appetite
  • Distention and fullness of the epigastrium and abdomen
  • Loose stools
  • Sallow complexion
  • Copious, pale menses
  • Uterine bleeding or
  • Light menstrual flow or
  • Amenorrhea
  • Leukorrhea
  • T: Pale
  • C: Thin and white or None
  • P: Thready and weak
Treatment Principle
  • Reinforce and Benefit the heart and Spleen
Herb Formulas
Points
Clinical Manifestations
  • Pale complexion
  • Pale lips
  • Blurred or failing vision
  • Spots before the eyes
  • Dizziness
  • Dry eyes
  • Pale nail beds
  • Irritability
  • Frightens easily
  • Insomnia with much dreaming
  • Tinnitus
  • Numbness of the limbs
  • Light menses or
  • Amenorrhea
  • Late menses
  • Maybe leukorrhea
  • T: Pale
  • C: Little
  • P: Thready
Treatment Principle
  • Nourish the Liver
  • Reinforce the Blood
Herb Formulas
Points
Clinical Manifestations
  • 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
  • Leukorrhea
  • T: Pink
  • C: Thin and white
  • P: Wiry
Treatment Principle
  • Soothe the Liver
  • Clear Stagnation
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
    Leukorrhea
  • T: Pink
  • C: White and greasy
  • P: Slippery and wiry
Treatment Principle
  • Soothe the Liver
  • Invigorate the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Hypochondriac pain
  • Headache
  • Vertigo
  • Bitter taste in the mouth
  • Dizziness
  • Frequent sighing
  • Epigastric pain and distention
  • Flatulence
  • Dry mouth and throat
  • Fatigue
  • Anorexia
  • Alternating chills and fever
  • Irregular menstruation
  • Breast distention
  • Lassitude
  • Insomnia
  • Shoulder and back pain
  • Rib pain
  • Various types of menstrual discharges
  • Premenstrual cramps
  • Excessive menstrual bleeding
  • Tightness or fullness in the chest and abdomen
  • 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
  • Flatulence
  • T: Pink
  • C: Thin white or yellow
  • P: Wiry and deficient or Wiry, and rapid
Treatment Principle
  • Pacify the Liver
  • Spread Liver Qi
  • Strengthen the Spleen
  • Nourish the Blood
  • Harmonize the Liver and Spleen
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • Irritability
  • Short temper
  • Restlessness
  • Fever or tidal fever
  • Red eyes
  • Dry mouth and throat
  • Palpitations
  • Lower abdominal pain
  • Difficult urination
  • Painful urination
  • Increased menstrual flow
  • Uterine bleeding
  • Early menstruation
  • Aching in limbs
  • Dizziness
  • Mental instability
  • Red face
  • Thirst
  • Turbid urine
  • Alternating chills and fever
  • Red cheeks
  • Wheezing
  • Nervousness
  • Headache
  • Red eyes
  • Dry mouth
  • Anorexia
  • Infertility
  • Abdominal pain
  • Anxiety
  • Spontaneous sweating or night sweats with fever
  • Dry eyes
  • Hypochondriac pain
  • Anorexia
  • Somnolence
  • Insomnia
  • Aching shoulders
  • Five sole Heat
  • Earache
  • Premenstrual tension
  • Hot flashes
  • Fatigue
  • Lassitude
  • Depression
  • Restlessness
  • Constipation with flushing up
  • Pale complexion
  • Bitter taste in mouth
  • Vertigo
  • Abdominal distention near the umbilicus
  • Epistaxis
  • Irregular menstruation
  • Heaviness in the lower abdomen
  • T:Red or Red edges
  • C: Thin and yellow
  • P: Thready, rapid and wiry or Wiry and tight and rapid
Treatment Principle
  • Pacify the Liver
  • Spread Liver Qi
  • Strengthen the Spleen
  • Nourish Blood and Yin
  • Regulate menstruation
  • Sedate the Heart
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • Pale red or white vaginal discharge
  • Discharge is thick with a foul odor
  • Irregular menstruation
  • Severe, splitting headaches with dizziness
  • Sudden tinnitus or
  • Sudden deafness
  • Cloudy mind
  • Flushed face or
  • Yellow face
  • Red, swollen, painful eyes
  • Irascibility with violent angry outbursts
  • Dry mouth and throat
  • Bitter taste in mouth
  • Thirst
  • Chest or breast distention
  • Vomiting sour or bitter liquid
  • Insomnia
  • Restlessness
  • Constipation or dry stools
  • Yellow urine
  • Maybe rib pain
  • Tightness in the flanks
  • In severe cases:
    Mania
    Hemoptysis
    Hematemesis
    Epistaxis
  • T: Red tip and edges or Red
  • C: Thick, yellow, dry and rough
  • P: Wiry, Excess and rapid or Slippery
Treatment Principle
  • Clear the Liver
  • Purge Fire
Herb Formulas
Points
Clinical Manifestations
  • Yellow vaginal discharge with foul smell
  • Pruritis vulvae
  • 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
  • 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
  • Green or yellow, thick, glutinous and foul smelling vaginal discharge
  • The vagina may be burning hot or
  • Pain and itching both inside and outside the vagina
  • Irritable, vexatious Heart Heat
  • A bitter taste in the mouth
  • A dry mouth and throat
  • Thirst with a desire for Cold Fluids
  • Knotted constipation
  • Short, red urination
  • T: Red
  • C: Yellow
  • P: Wiry, slippery and rapid or Wiry, slippery and weak or Floating and slow
Treatment Principle
  • Clear Damp-Heat from the Liver Channel
Herb Formulas
Points
Clinical Manifestations
  • Profuse white vaginal discharge which is not thick ( looks similar to that of a egg white) and dribbles all day long
  • Clear, silvery discharge
  • No odor
  • Dizziness
  • Tiredness
  • Low back soreness and weakness
  • Leg pain and weakness
  • The waist aches as though broken
  • There may be a sensation of coldness in the lower abdomen
  • Abdominal pain which is relieved by warmth
  • Frequent pale urination especially at night
  • General feeling of Cold
  • Cold hands
  • Cold feet
  • Cold lower back
  • Loose stools
  • T: Pale and moist
  • C: White
  • P: Deep and weak or Deep and slow or Deep, thready and weak
Treatment Principle
  • Warm the Kidneys
  • Support Yang
  • Astringe Jing
  • Stop discharge
Herb Formulas
Points
Clinical Manifestations
  • Dyspnea which is worse on exertion
  • Difficult to inhale but not to exhale
  • Shortness of breath, shallow breathing
  • Soft voice
  • Perspiration
  • In chronic cases:
    Thin physique
    Mental weariness
    Urinary incontinence on coughing
    Cold limbs
    Facial edema of Deficiency type
  • T: Pale and swollen
  • C: Thin and white
  • P: Superficial and Deficient or Deep and thready
  • Dyspnea which is worse on exertion
  • Difficult to inhale but not to exhale
  • Shortness of breath, shallow breathing
  • Soft voice
  • Perspiration
  • In chronic cases:
    Thin physique
    Mental weariness
    Urinary incontinence on coughing
    Cold limbs
    Facial edema of Deficiency type
  • T: Pale and swollen
  • C: Thin and white
  • P: Superficial and Deficient or Deep and thready
Treatment Principle
  • Reinforce the Kidneys to Grasp Qi
Herb Formulas
Points
Clinical Manifestations
  • Profuse white vaginal discharge which is not thick ( looks similar to that of a egg white)and dribbles all day long.
  • No odor
  • Dizziness
  • Tiredness
  • Backache
  • The waist aches as though broken
  • There may be a sensation of coldness in the lower abdomen
  • Frequent pale urination especially at night
  • General feeling of Cold
  • Loose stools
  • Spermatorrhea
  • Premature ejaculation
  • Vaginal discharge
  • Infertility
  • Dribbling after urination
  • Incontinence of urine
  • T: Pale and moist
  • C: White
  • P: Deep and weak or Deep and slow
Treatment Principle
  • Warm the Kidneys
  • Support Yang
  • Astringe Jing
  • Stop discharge
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
  • Leukorrhea
  • 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 Kidneys
  • Promote diuresis
Herb Formulas
Points
Clinical Manifestations
  • Small, sticky, yellow discharge or
  • The vaginal discharge is red and white, slightly viscid and without foul odor
  • There is a burning sensation in the vulva
  • Dizziness
  • Blurred vision
  • Flushed face
  • Five Sole Heat
  • Insomnia with dream-filled fitful sleep
  • Constipation
  • Dark urine
  • T: Red
  • C: Little or none
  • P: Thready and rapid
Treatment Principle
  • Nourish Kidney Yin
  • Clear Heat
  • Stop discharge
Herb Formulas
Points
Clinical Manifestations
  • Early menstrual period (short cycle)
  • Discharge of a small amount of thick, bright red Blood
  • Heavy flow
  • Mid cycle bleeding (spotting)
  • Bloody vaginal discharge
  • Discharge begins with scant light-colored Blood
  • Dizziness
  • Blurred vision
  • Hectic fever
  • Flaccidity of the lower limbs
  • Flushed cheeks
  • Sore throat
  • Tinnitus
  • Heartburn
  • Thirst
  • Five sole Heat
  • Night sweats
  • Lack of skin luster
  • T: Red or Crimson
  • C: Little or None
  • P: Thready and rapid or Deep, small and weak
Treatment Principle
  • Nourish Yin
  • Subdue Fire
Herb Formulas
Points
Clinical Manifestations
  • Heavy discharge
  • The discharge may be white, yellow, red or red and white
  • Itching of the genital area
  • Restlessness
  • Easily angered
  • Dizziness
  • Tinnitus
  • Insomnia
  • Night sweats
  • Lower back pain
  • Cold lower abdomen
  • Frequent, clear abundant urination
  • Nocturia
  • A gray face
  • Soft stools
  • T: Pale or Red
  • C: Little or None or Thin and white
  • P: Thready and rapid or Wiry and rapid or Deep and slow
Treatment Principle
  • Tonify Kidney Yang
  • Nourish Kidney Yin
Herb Formulas
Points
Clinical Manifestations
  • A dirty, turbid vaginal discharge, like clotted Blood which is continuous and does not stop
  • Low back ache
  • Weak legs
  • A chilly or cold abdomen
  • Cold extremities
  • Polyuria
  • loose stools
  • Dizziness
  • A poor memory
  • A gloomy, dull facial color
  • T: Pale and moist
  • P: Deep and weak
Treatment Principle
  • Tonify the Kidneys
  • Strengthen the Spleen
  • Eliminate Dampness
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Tinnitus
  • Low back and knees weak and aching
  • 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
Treatment Principle
  • Reinforce the Kidneys
  • Benefit Jing
  • Stop discharge
Herb Formulas
Points
Clinical Manifestations
  • White vaginal discharge
  • Great pain in the vagina radiating to the Heart
  • Soot Black complexion
  • Testicular contraction sending pain to the cardiac or abdominal region
  • Lower back pain
  • Upper back pain
  • Chest pain
  • Frequent sneezing
  • Drooling
  • Lacrimation
  • Incessant runny nose with turbid mucus
  • Nasal polyps with inability to smell
  • Cough with Phlegm and foam
  • Fire-like Heat above and icy Cold below
  • Intermittent headache
  • Fire in the eyes
  • Blurred vision
  • Tinnitus
  • Deafness
  • Aversion to Wind-Cold
  • Likes the sun
  • Troubled sleep
  • Constant sensation of choking
  • Obstructed diaphragm and throat
  • Loss of sense of taste
  • Acute contraction and pain of the flanks
  • Loose teeth with inability to chew
  • Genital sweating and Cold
  • Eyes awry
  • Difficulty attending to daily activities
  • Cold palms
  • Wind Bi insensitivity
  • Frequent urination with copious discharge in the morning
  • Scant urination at night
  • Shortness of breath
  • Asthmatic wheezing
  • Sudden bowel movements
  • Reddish-brown complexion
  • Anorexia
  • Abnormal urination and defecation
  • Heart vexation
  • Sudden turmoil
  • Counter flow Qi
  • Rectal pressure
  • White abdominal skin
  • Flatulence
  • Inability to exert abdomen
  • Borborygmus
  • Hypertonicity of the sinew below the knee
  • Great scapular pain
Treatment Principle
  • Warm Yang
  • Expel Cold
  • Strengthen the Lungs
  • Tonify the Kidneys
  • Clear Heat
  • Expel Dampness
  • Activate the Blood
  • Circulate Qi
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
  • Unchecked discharge over a long period of time
  • Fatigue
  • Listlessness
  • Loose stools
  • Poor appetite
  • Dizziness
  • Pale face
  • Weak voice
  • Reluctance to speak
  • Sweating with little or no exertion
  • Palpitations
  • Insomnia
  • Dry skin
  • Dry hair
  • Poor memory
  • Paleness
  • Scanty periods
  • T: Pale or Pale, thin and dry
  • 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
  • Irregular menstruation
  • Reduced appetite
  • Soreness in the lower back
  • Red and white vaginal discharge
  • Weak extremities
  • Abdominal distention
  • Cold extremities
  • Spontaneous perspiration
  • Weak breathing
  • Shortness of breath
  • Dizziness
  • An extremely pale face
  • Intolerance of Cold
  • Cold abdominal pain
  • Loose stools
  • Upset stomach
  • T: Pale
  • P: Minute (almost imperceptible)
Treatment Principle
  • Tonifies Deficiency
  • Invigorates the Blood
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Fatigue
  • Anorexia
  • Dizziness
  • Pale face
  • Weak voice
  • Reluctance to speak
  • Sweating with little or no exertion
  • Dizziness
  • Palpitations
  • Insomnia
  • Dry skin
  • Dry hair
  • Poor memory
  • Paleness
  • Scanty periods
  • Chills
  • Cold limbs
  • Inability to get warm
  • Loose stools
  • Profuse clear urine
  • Spontaneous sweating
  • Lassitude
  • T: Pale
  • C: White or Thin, white and dry
  • P: Slow, deep and weak or Empty or Thready and rapid or Weak
Treatment Principle
  • Tonify Qi and Blood
  • Strengthen the Spleen
  • Tonify Yang
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
  • Scant, reddish vaginal discharge
  • Repulsive odor
  • Dizziness
  • Palpitations
  • Heartburn
  • Thirst
  • Insomnia
  • Dry skin
  • Dry hair
  • Poor memory
  • Paleness
  • Fatigue
  • Scanty periods
  • Five sole Heat
  • Dry stool
  • T: Pale
  • C: Thin, white and dry
  • P: Thready and rapid or Weak
Treatment Principle
  • Nourish Blood
  • Tonify the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Chronic, continuous uterine bleeding
  • A pale complexion
  • Stabbing pain in the abdomen
  • Alternating chills and fever
  • Irregular menstruation with profuse bleeding
  • Abdominal pain
  • Fever
  • Thirst
  • Itchy skin
  • Heat in the upper body with Cold in the lower body
  • Irritability and restlessness despite fatigue and exhaustion
  • Mood swings
  • A sallow complexion
  • Emaciation
  • T: Dry with a red tip
  • C: Thin white
  • P: Deep and rapid
Treatment Principle
  • Drain Fire
  • Resolve toxicity
  • Tonify the Blood
  • Stop Bleeding
  • Warm the menses
  • Cool the Blood
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Pain that is fixed, stabbing and /or severe
  • Pan is worse with pressure
  • Dark complexion
  • Fixed, palpable masses
  • Bleeding with clots
  • Purple lips
  • Purple nails
  • Dry skin
  • Blue, dark or purplish discoloration of skin in small or large areas,
  • Varicose and spider veins
  • Cold hands and feet
  • Tendency to hemorrhage dark blood or clots
  • T: Purple, possible purple or red spots
    Red purple if there is Heat
    Blue purple if there is Cold
  • C: White
  • P: Choppy or Wiry and choppy
Treatment Principle
  • Activate the Blood
  • Break up Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Pain in the lower right abdomen; refuses pressure
  • Pain may be severe, boring, and in a fixed position or without fixed location
  • Constipation or
  • Mild diarrhea
  • Maybe fever
  • Maybe nausea and vomiting
  • Anorexia
  • Yellow vaginal discharge
  • T: Red
  • C:Thick, yellow and greasy or sticky
  • P: Rapid
Treatment Principle
  • Clear Heat
  • Transform Dampness
  • Invigorate Blood circulation
  • Conduct Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Fatigue
  • Heavy and painful lower back
  • Dream-disturbed sleep
  • General weakness
  • Lack of interest in food or drink
  • Fever
  • Night sweats
  • Seminal emission
  • Forgetfulness
  • Toothache
  • Dizziness
  • Gum swelling
  • General pitted edema which is worse in the lower body
  • Vaginal discharge
  • Discharge of rice-water like urination without dysuria
  • Aversion to Cold
  • Impotence
  • Decreased libido
  • Emaciation
  • Loose teeth
  • Signs of premature aging
  • Abdominal Cold
  • Easily frightened
  • T: Pale or Pale and thick
  • C: Smooth and white
  • P: Moderate and weak or Deep and weak
Treatment Principle
  • Tonify the Spleen and Kidneys
  • Nourish the Heart
  • Enrich Yin
  • Nourish the Blood and Yang
  • Augment Qi
Herb Formulas
Points
Clinical Manifestations
  • Black, foul smelling vaginal discharge
  • Lower abdominal pain
  • Sharp, painful urination
  • Swollen vagina
  • Red face
  • P: Slippery and rapid or Deep and rapid
Treatment Principle
  • Clear Fire
Herb Formulas
Points
Clinical Manifestations
  • Profuse, yellow, green or red sticky discharge with a foul odor
  • In some patients the discharge is white but like bean curd
  • Foul odor
  • Vulvar itch or
  • A burning sensation in the vagina
  • Scanty dark urine
  • Urine may be bright red
  • A heavy head
  • Chest tightness
  • Palpitations
  • Sticky mouth
  • Dry mouth
  • A bitter taste in the mouth
  • Thirst with no desire to drink
  • Anxiety
  • Insomnia
  • Reduced appetite
  • Vague pains in the lower abdomen
  • Lower back pain
  • Abnormal stools
  • Dizziness
  • Lassitude
  • Fatigue
  • Low-grade fever
  • T: Red
  • C: Yellow and greasy or Thick and yellow or Greasy and white
  • P: Soft and mildly rapid or Slippery and rapid or Floating, small and rapid
Treatment Principle
  • Strengthen the Spleen
  • Eliminate Dampness
  • Clear Heat
  • Stop the discharge
Herb Formulas
Points
Clinical Manifestations
  • Red discharge (not Blood)
  • Continuous spotting
  • P: Deep and slippery
Treatment Principle
  • Clear Damp-Heat
  • Regulate the Blood
Herb Formulas
Points
Clinical Manifestations
  • The vaginal discharge is copious
  • The color is either mixed red and white or multi-colored
  • The texture is viscid, sometimes pus-like
  • The odor is foul, sometimes putrid foul
  • Lower abdominal pain
  • Restlessness
  • Dry mouth
  • Dizziness especially in the afternoon
  • Foul-smelling, dry feces
  • Scanty dark urine
  • T: Red
  • C: Dry and yellow
  • P: Rapid
Treatment Principle
  • Cool Heat
  • Detoxify
  • Eliminate Dampness
Herb Formulas
Points
Clinical Manifestations
  • Profuse yellow blood streaked (stained) leukorrhea (vaginal discharge)
  • Sticky with a strong odor
  • Thirst
  • General feeling of Heat
  • Dark urine
  • T: Red body
  • C: Sticky yellow (possibly brown)
  • P: Slippery and rapid
Treatment Principle
  • Clear Toxic Heat in the Lower Jiao
Herb Formulas
Points
Clinical Manifestations
  • Abdominal distention
  • Dry, scaly skin
  • Tightness
  • A mass-like appearance
  • Softness on palpation
  • Absence of thirst
  • Maybe an aversion to drinks
  • Tenderness and soreness of the lower abdomen
  • Lower abdominal cramps
  • No fever
  • Condition fails to improve
  • A right-sided abdominal swelling that is soft when touched and not very painful
  • Cold extremities
  • A gray or pale complexion
  • T: Pale
  • C: Thin and white
  • P: Rapid or Rapid, empty and weak
Treatment Principle
  • Warms Yang
  • Disperses Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Delayed menstruation or
  • Amenorrhea
  • Thick, sticky discharge
  • Abundant mucus
  • Menses are decreased, light in color and viscid
  • Scanty periods
  • Palpitations of the Heart
  • Shortness of breath or
  • Strong, rapid respiration
  • Epigastric fullness
  • Lassitude of limbs
  • Profuse sputum in the throat
  • Loose stools
  • Fatigue
  • Drowsiness
  • Obesity
  • Infertility
  • Leukorrhea
  • Dizziness
  • A heavy sensation in the head
  • Chest oppression
  • Abdominal swelling
  • Nausea
  • Increased vaginal discharge
  • Body fat and stout
  • Inability to taste food
  • T: Pale and plump or Pale and moist
  • C: White and greasy
  • P: Slippery
Treatment Principle
  • Resolve Phlegm
  • Eliminate Dampness
  • Regulate Qi
  • Regulate menstruation
Herb Formulas
Points
Clinical Manifestations
  • Mild, persistent uterine bleeding of purple and black blood during pregnancy
  • Abdominal pain that is worse with pressure
  • Abdominal spasms and tension
  • Immobile masses in the lower abdomen with pain and tenderness
  • Amenorrhea with distention and pain
  • Dysmenorrhea
  • Headache
  • Sinus congestion
  • Constipation
  • Excess weight in the pelvis
  • Lower back ache
  • Irregular menstruation
  • Nervousness
  • Fatigue
  • Fetal instability
  • Skin eruptions
  • Scanty menstrual flow
  • Scaly, dry skin
  • Retention of lochia
  • Headache
  • Shoulder stiffness
  • Vertigo
  • Cold low body and feet
  • Flushed face
  • Protruding abdomen
  • T: Dark purple or with echymoses or petechiae or pale with purplish spots
  • C: White
  • P: Choppy or Tense and deep and slow
Treatment Principle
  • Invigorate Blood
  • Transform Blood Stasis
  • Soften lumps
  • Reduces fixed abdominal pain
Herb Formulas
Points
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
  • Disperse nodules
  • Reduce swelling
Herb Formulas
Points
Clinical Manifestations
  • Red hot swollen painful joints
  • Leg numbness and pain
  • Burning sensations in the feet
  • Weak low back
  • Weak lower limbs
  • Atrophy of the lower limbs
  • Scanty, yellow urine
  • Lower back pain
  • Thick, yellow, foul smelling vaginal discharge
  • Lower limb sores due to Dampness
  • T: Pink and maybe swollen
  • C: Yellow and greasy
  • P: Rapid
Treatment Principle
  • Clear Heat
  • Dry Dampness
Herb Formulas
Points
Clinical Manifestations
  • Lower abdominal distension
  • Excruciating abdominal pain
  • Mania
  • Delirious speech from extreme pain
  • Afternoon fever
  • Restlessness
  • Thirst - likes to drink
  • Amenorrhea
  • Dysmenorrhea
  • Irregular menstruation
  • Chills and fever
  • Headache
  • Black stools
  • Neurosis
  • Hard stools
  • Acute pelvic inflammatory disease
  • Retention of lochia
  • Intestinal obstruction
  • T: Red and dry
  • C: Normal or Yellow
  • P: Sinking and choppy or Sinking and forceful
Treatment Principle
  • Invigorate the Blood
  • Dispel Blood stasis
Herb Formulas
Points
Clinical Manifestations
  • Swelling and pain in scrotum as if the testicles were being pulled downward or
  • Contractions and Cold sensations of scrotum which are alleviated by warmth
  • Pain, distention, fullness and Cold sensation in lower abdomen
  • Cold limbs
  • Dislike of Cold and a preference for warmth
  • T: Pale
  • C: White, greasy
  • P: Deep and wiry or Slow or Deep and Excess
Treatment Principle
  • Warm the Liver
  • Dispel Cold
Herb Formulas
Points
Clinical Manifestations
  • Yellow discharge
  • Facial swelling
  • P: Wiry and slow or Floating and weak
Treatment Principle
  • Clear Damp-Heat
  • Clear the Ren channel
Herb Formulas
Points
Clinical Manifestations
  • High fever
  • Irritability
  • Fidgeting
  • Dry mouth
  • Dry throat
  • Incoherent speech
  • Insomnia
  • Dark urine
  • Deep-rooted boils
  • Maculae
  • Carbuncles
  • Hematemesis
  • Hemoptysis
  • Palpitations
  • Furuncles
  • Tinnitus
  • Purpura
  • Red face
  • Rashes
  • Deep-rooted boils
  • Red eyes
  • Itchy skin
  • Fidgeting
  • Dry lips
  • Delirium
  • Dysentery with fever
  • Jaundice
  • Epistaxis
  • Hematuria
  • Cloudy mind
  • Diarrhea
  • T: Red
  • C: Yellow
  • P: Rapid and forceful
Treatment Principle
  • Clear Heat
  • Drain Fire
  • Relieve toxicity from all three Jiaos
  • Relieve inflammation
  • Purge Damp-Heat
Herb Formulas
Points
Clinical Manifestations
  • Thick yellow or green vaginal discharge
  • Discharge may be mixed with Blood
  • May have a fishy stench
  • Vaginal ulceration
  • Itch
  • Short, red urine
  • Bitter taste in the mouth
  • Dry throat
  • T: Red
  • C: Yellow
  • P: Slippery and rapid
Treatment Principle
  • Clear Heat
  • Resolve Toxins
  • Resolve Dampness
  • Stop discharge
Herb Formulas
Points
Clinical Manifestations
  • Red or white vaginal discharge
  • Lower abdominal Cold, distention and pain
  • The vagina feels cold and distended inside
  • Sporadic abdominal pain which is better with warmth pressure
  • Irregular menstruation (usually long and heavy or scant with clots)
  • Delayed menstruation with a small amount of pale Blood
  • Mild, persistent uterine bleeding
  • Lumbar and sacral pain which are worse following menstruation or when tired
  • Profuse, clear, watery leukorrhea
  • Maybe infertility
  • Maybe dark rings around the eyes
  • Palpitations
  • Shortness of breath
  • Faint, weak respiration
  • Drenched with perspiration
  • Dizziness
  • Symptoms worse on exertion or when tired
  • Four limbs Cold or
  • Limb temperature may change abruptly form Cold to Hot
  • Intolerance of Cold
  • Cold abdominal pain
  • An extremely pale face
  • Cyanosis of mouth and lips
  • Reduced appetite
  • Fatigue
  • Facial color is dull and stagnant
  • Upset stomach
  • Loose stools
  • Maybe late menstruation
  • T: Pale and thick with teeth marks
  • C: White and greasy
  • P: Minute (on the point of collapse) or Deep and slow or Wiry and choppy
Treatment Principle
  • Return Yang
  • Scatter Cold
  • Warm the menses
  • Consolidate Exhaustion
Herb Formulas
Points
Clinical Manifestations
  • Alopecia
  • Premature graying of the hair
  • Vaginal discharge
Treatment Principle
  • Tonify Yang
  • Nourish the Blood
  • Tonify Jing
Herb Formulas
Points