VERTIGO

Clinical Manifestations
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Headache due to Wind attack
  • Headache in any part of the head
  • Fever and chills
  • Dizziness
  • Nasal congestion
  • Stuffy nose
  • Clear or white nasal discharge
  • Sneezing
  • Body aches
  • Nasal obstruction
  • Vertigo
  • Aversion to Cold
  • Copious sputum
  • T: Normal
  • C: Thin and white
  • P: Superficial
Treatment Principle
  • Dispels Wind
Herb Formulas
Points
Clinical Manifestations
  • Aversion to Wind
  • Mild, or severe chills
  • Fever which may be persistent
  • Uneasiness from fever
  • Spontaneous perspiration
  • Headache
  • Nausea
  • Nasal irritation
  • Nasal obstruction
  • Tendency to snore
  • Itchy throat
  • Nocturnal emission
  • Excess dreams
  • Cold lower extremities
  • Dizziness
  • Vertigo
  • Hair loss
  • T: Normal
  • C: Thin and white
  • P: Superficial and slow or Moderate and maybe weak
Treatment Principle
  • Create sweat to relieve the Exterior and expel Wind
  • Harmonize Ying and Wei to protect digestion and nourish Wei Qi
Herb Formulas
Points
Clinical Manifestations
  • Aversion to Cold
  • Fever
  • Headache
  • Anhidrosis
  • Anorexia
  • Belching
  • Aching shoulders
  • Tinnitus
  • Focal distention in the chest and epigastrium
  • A stifling sensation in the chest and epigastrium
  • Vertigo
  • Nausea
  • T: Normal
  • C: Thin and white
  • P: Floating
Treatment Principle
  • Regulate Qi
  • Release the Exterior
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Red, sore eyes
  • Difficulty swallowing
  • Nasal congestion and infection
  • Thick, sticky nasal discharge and saliva
  • Bitter taste in the mouth
  • Dry mouth
  • Focal distention in the chest and diaphragm
  • Stifling sensation in the chest and diaphragm
  • Manic behavior
  • Carbuncles
  • Heat rash
  • Headache
  • Acne
  • Chills
  • High fever
  • Restlessness
  • Urticaria
  • Sore throat
  • Swelling of the throat
  • Coughing
  • Reddish urine
  • Dyspnea
  • Vertigo
  • Severe aversion to Cold
  • Skin rashes
  • Skin ruptures or ulcers
  • Tense abdomen
  • Shoulder stiffness
  • Numb extremities
  • Fatigue
  • Constipation
  • Dysuria with reddish urine
  • Dark, rough urination
  • Obesity
  • Fullness of the abdomen
  • Fullness of the epigastrium
  • Heaviness in the head
  • T: Red
  • C: White or Yellow and greasy
  • P: Flooding and rapid or Wiry and slippery or Floating, smooth and rapid or Floating, slippery, rapid and wiry or Floating, slippery, rapid and overflowing
Treatment Principle
  • Disperse Wind
  • Release the Exterior
  • Drain Heat
  • Unblock the bowels
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 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
  • Cough with thick, sticky, yellow sputum
  • 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
  • Dizziness
  • Vertigo
  • Maybe dyspnea with flared nostrils
  • Maybe chest pain
  • T: Red tip
  • C: Thin and yellow
  • P: Superficial and rapid
Treatment Principle
  • Expel Wind
  • Clear Heat
  • Ventilate the Lungs
Herb Formulas
Points
Clinical Manifestations
  • Hot tears appear on exposure to Wind
  • Red eyes
  • Eyes feel gritty
  • Dry mouth
  • Dry nose
  • Dizziness
  • Vertigo
  • Tinnitus
  • T: Red
  • C: Thin white
  • P: Wiry or Thready and rapid
Treatment Principle
  • Mild cases:
    Cool the Liver
    Expel Wind
  • Severe cases:
    Expel Wind-Heat
    Nourish Yin
    Clear Fire
Herb Formulas
Points
Clinical Manifestations
  • Headache (wrapping)
  • Fever and chills, fever more pronounced or
  • Chills with afternoon fever
  • Heavy extremities
  • Heavy sensations in the body
  • Stifling sensation in the chest
  • Nausea
  • Dizziness
  • Gastric and abdominal distension
  • Sticky mouth
  • No thirst
  • T: Normal
  • C: Greasy, white or Greasy, yellow
  • P: Soft and rapid or Soft and slow or Wiry thin and soft
Treatment Principle
  • Clear Damp-Heat
Herb Formulas
Points
Clinical Manifestations
  • High fever worse at night
  • Thirst
  • Insomnia
  • Major mental problems
  • Dramatic change of personality
  • Delirium
  • Speech difficulty
  • Aphasia
  • Poor memory
  • Dizziness
  • Vertigo
  • Maybe fainting
  • Maybe coma
  • Feverish extremities
  • T:  Deep red
  • P:  Thready and rapid
Treatment Principle
  • Clear Heat in Pericardium
Herb Formulas
Points
Clinical Manifestations
  • High fever
  • Confusion of mind
  • Delirium
  • Mania
  • Dizziness
  • Vertigo
  • Dark yellow urine
  • Excessive skin rashes all over body
  • Hemorrhage:
    Hematemesis
    Hemoptysis
    Epistaxis
    Hemafecia
    Hematuria
  • Stiffness
  • Convulsions:  
    Clenched jaws
    Clenched fists
    Shaking
  • Opisthotonos
  • Stiff neck
  • Semi-consciousness
  • T: Deep red and dry
  • C: Yellow
  • P: Wiry and rapid
Treatment Principle
  • Subdue Wind
  • Clear Heat
  • Nourish Yin
  • Stop convulsions
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
  • Dry stools
  • Knotted constipation or bowel movements once a day
  • Difficulty passing stools
  • Dizziness
  • Bad breath
  • Mouth and throat dry
  • T: Red
  • C: Little
  • P: Thready and rapid
Treatment Principle
  • Lubricate the Intestines
  • Relieve constipation
Herb Formulas
Points
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
Points
Clinical Manifestations
  • Prolapse of one or more organs
  • Sallow complexion
  • Anorexia
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools
  • Shortness of breath
  • T: Pale and flabby - may have teethmarks
  • C: White
  • P: Even or Soft and thready
Treatment Principle
  • Strengthen the Spleen
  • Benefit Qi
  • Reinforce the Center
  • Invigorate Yang
Herb Formulas
Points
  • DU-20, other points are selected according to the type of prolapse
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
  • 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
  • Vertigo
  • Hiccup
  • Nausea
  • Dry heaves
  • Retching
  • Vomiting
  • T: Pale or Red and tender or Red and dry
  • P: Weak and rapid or Thready and rapid
Treatment Principle
  • Descend Rebellious Qi
  • Augment Qi
  • Clear Heat
  • Strengthen the Spleen
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
  • Vomiting immediately after eating
  • Vertigo with vomiting
  • Indeterminate gnawing hunger
  • Acid regurgitation
  • Belching
  • May be epigastric pain
  • Dry heaves or spitting of clear fluids with vertex headache
  • Vomiting and diarrhea with cold hands and feet
  • Restlessness
  • Severe fidgeting
  • Irritability
  • So agitated, the patient wants to die
  • Habitual headache
  • Subcardiac distention
  • A feeling of fullness and distention in the chest and diaphragm
  • T: Pale
  • C: White and slippery
  • P: Slow and weak or Sinking or slow and thin or Slow and wiry
Treatment Principle
  • Warm and tonify the Spleen, Stomach, Liver and Kidneys
  • Descend Rebellious Qi
  • Stop vomiting
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
  • 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
  • Palpitations
  • Irritability
  • Anxiety
  • Easily startled
  • Insomnia
  • Much dreaming
  • Poor memory
  • Dizziness
  • Pale face and lips
  • T: Pale
  • P: Thready and weak
Treatment Principle
  • Nourish Heart Blood
  • Calm the Heart and Shen
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Insomnia with much dreaming
  • Easily startled
  • Eye dizziness
  • Both eyes dry and rough
  • Twitching of the eyes
  • Pain in the ribs and flanks
  • Numbness of the limbs
  • Stiffness and spasms of the tendons
  • Low grade fever
  • Night sweats
  • Irregular, scanty menses
  • T: Pale and thin
  • C: Little
  • P: Thready, choppy and forceless
Treatment Principle
  • Nourish Yin
  • Reinforce the Blood
  • Conceal Yang
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Irritability
  • Restless sleep
  • Occasional palpitations
  • Anxiety
  • Dizziness
  • Fright
  • Insomnia
  • Vertigo
  • T: Red or Pale or Pink
  • C: Little or None
  • P: Thready and wiry
Treatment Principle
  • Enrich Yin
  • Nourish the blood
  • Sedate the Heart
  • Calm the Shen
  • Calm the Liver
  • Anchor Yang
Herb Formulas
Points
Clinical Manifestations
  • A 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
  • Women:
    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
  • 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
  • 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
  • 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
  • Spontaneous sweating or night sweats with fever
  • Anxiety
  • Dry eyes
  • Hypochondriac pain
  • 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
  • Pacifies the Liver
  • Spread Liver Qi
  • Strengthen the Spleen
  • Nourish the Blood and Yin
  • Regulate menstruation
  • Sedate the Heart
  • Clear Heat
Herb Formulas
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
  • Dizziness and vertigo to the point of falling over
  • Headache with a drawing sensation
  • Numbness and tremor of limbs
  • Twitching and involuntary writhing of hands and feet
  • Dysphagia
  • Unsteady gait
  • With Wind-Stroke:
    Sudden loss of consciousness
    Tongue stiffness with aphasia
    Facial paralysis
    Hemiplegia
  • Maybe coma
  • Sometimes death
  • T: Red
  • P: Thready and wiry
Treatment Principle
  • Nourish Yin
  • Pacify 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
  • Dizziness
  • Vertigo
  • 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, worse with stress or emotional upset
  • Vertigo
  • Impaired vision
  • Night blindness
  • Tinnitus
  • Irritability
  • Irascibility
  • Throbbing headache with distended feeling
  • Flushed face
  • Malar flush
  • Blurred vision
  • Pressure behind the eyes
  • Red, dry eyes with feeling of grit in eye
  • Dry mouth and throat with bitter taste in mouth
  • Palpitations
  • Headache, often temporal
  • Nervousness
  • Insomnia with much dreaming
  • Restlessness
  • Fatigue
  • weakness
  • Dry throat
  • Thirst
  • Five Sole Heat (palms, soles and center of chest)
  • Night sweats
  • Light or late menses or
  • Amenorrhea
  • Lower backache
  • Spasms
  • T: Red and dry
  • C: Little or None
  • 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 or Thready, wiry and rapid
Treatment Principle
  • Nourish Yin
  • Pacify the Liver
  • Subdue 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
  • 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 Kidneys
  • Promote diuresis
Herb Formulas
Points
Clinical Manifestations
  • Mild dizziness which is worse with sex, overexertion and late nights
  • Tinnitus or deafness
  • Poor memory
  • Forgetfulness
  • Aching, soreness or weakness of low back
  • Spermatorrhea or premature ejaculation
  • Low grade fever or
  • Afternoon fevers
  • Five Sole Heat
  • Fatigue
  • Insomnia
  • Tendency toward constipation
  • Malar or facial flushing
  • Aching in bones
  • Aching in leg and heel
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Reinforce the Kidneys
Herb Formulas
  • Liu Wei Di Huang Wan
  • Zuo Gui Wan  modified
  • Chinese Patent Medicines:
    Liu Wei Di Huang Wan

    He Che Da Zao Wan
    With Deficient Heat: Zhi Bai Di Huang Wan
    With tinnitus: Er Ming Zuo Ci Wan
    With visual disturbances: Ming Mu Di Huang Wan
    With Liver and Kidney Yin Deficiency:
Points
Clinical Manifestations
  • 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
  • Dry stools and/or
  • Constipation
  • Urine short and red
  • Heightened libido
  • If Heart Fire also Flares:
    Insomnia
    Frequent dreams
    Palpitations
  • If Liver Yang also Rises:
    Dizziness
    Blurred vision
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Subdue Fire
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Vertigo
  • 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
Herb Formulas
Points
Clinical Manifestations
  • Deafness
  • Tinnitus that worsens 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 that is usually mild and postural and worse with fatigue
  • Vertigo
  • Poor memory
  • Fatigue
  • Lethargy
  • Low spirits
  • Depression
  • Loose stools
  • Poor appetite
  • Pale face
  • Weak voice
  • Reluctance to speak
  • Sweating with little or no exertion
  • Palpitations
  • Anxiety
  • Phobias
  • Panic attacks
  • Blurred vision
  • Spots before the eyes
  • Insomnia
  • Dry skin
  • Dry hair
  • Forgetfulness
  • Pale face, lips and nails
  • Scanty periods or
  • Bruises easily
  • T: Pale or Pale, thin and dry
  • C: Thin and white
  • P: Weak or Thin and choppy
Treatment Principle
  • Tonify Qi
  • Nourish the Blood
Herb Formulas
Points
Clinical Manifestations
  • Constipation
  • Facial flushing
  • Melancholy
  • Restlessness
  • Headache
  • Vertigo
  • Tinnitus
  • Abdominal distention
  • Acid regurgitation
  • Vertigo
  • Stiff shoulders
  • Neurosis
  • Fever
  • Palpitations
  • Lower back pain
  • Hot flashes
  • Belching
Treatment Principle
  • Tonify Qi
  • Nourish the Blood
  • Regulate Qi
  • Clear Heat
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
  • Palpitations
  • Insomnia
  • Dry skin
  • Dry hair
  • Poor memory
  • Paleness
  • Fatigue
  • Scanty periods
  • T: Pale
  • C: Thin, white and dry
  • P: Choppy or Wiry and choppy
Treatment Principle
  • Nourish Blood
  • Tonify the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Vertigo
  • Palpitations
  • Amenorrhea with distention and pain
  • Dysmenorrhea
  • A stubborn headache that is fixed and boring
  • Forgetfulness
  • Sinus congestion
  • Constipation
  • Excess weight in the pelvis
  • Lower back ache
  • Irregular menstruation
  • Nervousness
  • 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
  • Fatigue
  • Depression
  • Low spirits
  • Irritability
  • Mood swings
  • Dar or purplish lips
  • Spider naevi on the face and nose
  • Fetal instability
  • Skin eruptions
  • Scanty menstrual flow
  • Scaly, dry skin
  • Retention of lochia
  • Insomnia
  • Restless sleep
  • Shoulder stiffness
  • 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, deep and slow or Wiry or Thready
Treatment Principle
  • Activate the Blood
  • Break up Stasis
Herb Formulas
Points
Clinical Manifestations
  • Spasms, cramps and stiffness in the limbs, neck and back
  • Convulsions
  • Diffuse headache
  • Heaviness
  • Fogginess or fullness in the head
  • Visual disturbances
  • Double vision
  • Loss of sight
  • Dizziness
  • Vertigo
  • Fullness and discomfort in the chest and epigastrium
  • Nausea
  • Vomiting
  • T: Normal
  • C: Greasy and white
  • P: Soft, slippery and/or wiry
Treatment Principle
  • Expel Wind
  • Disperse Phlegm
  • Move Qi
  • Stop spasms
Herb Formulas
Points
Clinical Manifestations
  • Dizziness with flushing
  • Anxiety
  • Nausea
  • Palpitations
  • Cough with sticky, yellow, difficult to expectorate sputum
  • Rapid breathing with a harsh voice
  • Restless fever
  • Sore throat
  • Constipation
  • Dry stools
  • Mania
  • Shortness of breath
  • Dyspnea
  • Chest and/or epigastric fullness
  • Pain in the ribs
  • T: Scarlet
  • C: Yellow or Yellow and greasy or Yellow and smooth
  • P: Rapid and smooth or Slippery and rapid
Treatment Principle
  • Clear Heat
  • Resolve Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Head and eyes dizzy
  • T: Deep red edges
  • C: Thick and yellow
  • P: Empty and large
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Fullness in the chest and hypochondrium
  • Restlessness
  • Irritability
  • Heartburn
  • Dizziness
  • Vertigo
  • A greasy mouth cavity
  • Coughing with sputum
  • Difficulty expectorating
  • Alternating chills and fever as that in malaria every other day
  • T: Normal
  • C: Thick and rough
  • P: Taut and slippery or Wiry and slippery
Treatment Principle
  • Dispel Dampness
  • Dissolve Phlegm
  • Eliminate pathogenic factors from pleurodiaphragmatic interspace (membrane source)
Herb Formulas
Points

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
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
  • Dizziness
  • Vertigo (possibly severe)
  • Headaches (may be recurrent)
  • A stifling sensation in the chest
  • Nausea
  • Vomiting
  • Copious sputum
  • Spots before the eyes
  • 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
  • T: Normal
  • C: White and greasy
  • P: Wiry and slippery or Soft and slippery
Treatment Principle
  • Strengthens the Spleen
  • Dispels Dampness
  • Transforms Phlegm
  • Soothes the Liver
  • Extinguishes Wind
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
  • 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 or Wiry, slippery and rapid
Treatment Principle
  • Clear Heat
  • Transform Phlegm
  • Extinguish Wind
Herb Formulas
  • Dao Tan Tang modified
  • Wen Dan Tang modified
  • With severe Phlegm, Heat and tremors: Cui Gan Wan
  • For severe cases or cases with vertigo, a thick, yellow tongue coat, impairment of consciousness or constipation: Gun Tan Wan
  • Following resolution of the Heat signs or between episodes: Er Chen Tang modified
  • With dizziness and a headache of foggy-headedness: Ban Xia Bai Zhu Tian Ma Tang
  • With Spleen Qi Deficiency: Liu Jun Zi Tang
  • Chinese Patent Medicines:
    An Gong Niu Huang Wan
    Wan Shi Niu Huang Qing Xin Wan

    Hu Po Bao Long Wan
    Qing Qi Hua Tan Wan
    Huang Lian Jie Du Tang
    Chuan Xin Lian Kang Yan Pian

Points
Clinical Manifestations
  • Anorexia
  • Edema
  • Abdominal distention
  • Chest and hypochondriac distention
  • Heaviness of the body
  • Dizziness, sometimes enough to make the patient fall over
  • The dizziness may be triggered by, movement of the head,m strong smells or no obvious trigger
  • The feeling may like sea sickness or spinning around
  • Tinnitus during the dizziness
  • Nausea
  • Vomiting
  • Vertigo
  • Lethargy
  • Somnolence
  • Thirst with no desire to drink
  • Maybe no thirst
  • Palpitations
  • Shortness of breath
  • Poor concentration
  • Foggy-headedness
  • A sensation of the head being wrapped in a wet cloth
  • Frontal headaches
  • T: Pale and swollen
  • C: Thick and slippery
  • P: Slippery, full and maybe wiry or Soft
Treatment Principle
  • Warm and Dissolve Tan Yin
  • Dry Dampness
  • Transform Phlegm
  • Strengthen the Spleen
  • Harmonize the Stomach
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 with sharp pain in the chest and hypochondrium
  • Hypochondriac distention and pain
  • Hard focal distention in the epigastrium
  • Dry heaves
  • Shortness of breath
  • Headache
  • Abdominal distention
  • Wheezing
  • Fullness in the chest
  • Dyspnea caused by extreme chest and back pain
  • Dizziness
  • Vertigo
  • Asthma
  • Rapid breathing
  • Generalized edema which is worse in the lower body
  • Difficult urination and defecation
  • T: Normal or Dark
  • C: Thick, greasy and white
  • P: Deep and wiry
Treatment Principle
  • Attack and Dispel water
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
Etiology
  • Excess urination
  • Excess perspiration
  • Excess diarrhea
  • Excess vomiting
  • Sudden Blood loss
  • Heat
  • Yin Deficiency
Clinical Manifestations
  • Dry mouth
  • Dry lips
  • Dry throat
  • Thirst
  • Dizziness
  • Vertigo
  • Dry stool
  • Constipation
  • Decreased urination
  • T: Red, dry and cracked
  • C: None
  • P:Thready and rapid
Treatment Principle
  • Replenish Jin Ye (Body Fluid)
Herb Formulas
Points
Clinical Manifestations
  • Slow and gradual onset
  • Weak and flaccid lower limbs
  • Muscle twitching
  • Soreness and weakness of the lower back and spine
  • Inability to stand for a long time
  • Total loss of mobility and severe loss of muscle mass can result with exacerbation
  • Dizziness
  • Vertigo
  • Hair loss
  • Dry throat
  • Tinnitus
  • Fatigue
  • Nocturnal emissions
  • Enuresis
  • Fecal and urinary incontinence
  • Irregular menstruation
  • Dysmenorrhea
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Tonify the Liver and Kidneys
  • Nourish Yin
  • Clear Heat
Herb Formulas
Points